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General NPI Number Information
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NPI Number | 1215988175
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Entity Type | Individual
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Provider Name | STEVEN K DIEHL PHD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 850 AQUIDNECK AVE
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City | MIDDLETOWN
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State | RI
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Zip | 02842-7244
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Country | US
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Telephone | 401-440-7927
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Fax | 401-842-0360
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Provider Business Mailing Address
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Address Line | 39 TOLEDO AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-4727
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Country | US
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Telephone | 401-440-7927
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Fax | 401-842-0360
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS00851
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License Number State | RI
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