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General NPI Number Information
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NPI Number | 1205009735
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Entity Type | Individual
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Provider Name | DIANA R KOON NP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 1675 REPUBLIC PKWY STE 100
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City | MESQUITE
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State | TX
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Zip | 75150-6902
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Country | US
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Telephone | 972-620-9111
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Fax | 972-620-9187
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Provider Business Mailing Address
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Address Line | 1675 REPUBLIC PKWY STE 100
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City | MESQUITE
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State | TX
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Zip | 75150-6902
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Country | US
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Telephone | 972-620-9111
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Fax | 972-620-9187
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 563192
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License Number State | TX
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