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General NPI Number Information
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NPI Number | 1215673579
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Entity Type | Individual
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Provider Name | DIOGO RIBEIRO DE SENE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 618 HOSPITAL RD
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-5000
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Country | US
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Telephone | 804-443-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 16TH ST NW APT 2611
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City | WASHINGTON
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State | DC
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Zip | 20009-3784
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Country | US
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Telephone | 202-450-7413
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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