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General NPI Number Information
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NPI Number | 1255665311
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Entity Type | Individual
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Provider Name | DIANE K. ANDERSON DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 494 WI30
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City | ROYSE CITY
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State | TX
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Zip | 75189
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Country | US
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Telephone | 972-635-2186
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 KINGS GATE DR
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City | CARROLLTON
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State | TX
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Zip | 75006-2050
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Country | US
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Telephone | 972-213-2996
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 568639
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP108000
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License Number State | TX
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