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General NPI Number Information
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NPI Number | 1255388237
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Entity Type | Individual
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Provider Name | DIANE ELIZABETH STRAUS NP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 3260 SACRAMENTO ST
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City | BERKELEY
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State | CA
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Zip | 94702-2739
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Country | US
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Telephone | 510-428-4526
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Fax | 510-428-4594
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Provider Business Mailing Address
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Address Line | 3260 SACRAMENTO ST
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City | BERKELEY
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State | CA
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Zip | 94702-2739
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15624
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License Number State | CA
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