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General NPI Number Information
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NPI Number | 1255607768
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Entity Type | Individual
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Provider Name | CURTIS DIKES NP
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Gender | Male
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 120 S SPALDING DR STE 330
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1800
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Country | US
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Telephone | 310-275-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 ANTHONY PL
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-2001
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Country | US
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Telephone | 310-312-7203
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 10400
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License Number State | CA
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