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General NPI Number Information
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NPI Number | 1235288473
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Entity Type | Individual
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Provider Name | DIANN ELLNER SAILORS HEDRICK NP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 3345 4TH STREET BLVD NW
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City | HICKORY
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State | NC
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Zip | 28601-1072
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Country | US
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Telephone | 828-210-2050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10414
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City | LARGO
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State | FL
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Zip | 33773-0414
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 900332
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 900332
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License Number State | NC
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