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General NPI Number Information
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NPI Number | 1265212237
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Entity Type | Individual
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Provider Name | DIANA NOEMI PUENTE HEAD AGACNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1401 W THUNDERBIRD BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 480-256-6444
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Fax | 480-256-3682
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Provider Business Mailing Address
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Address Line | 1401 W THUNDERBIRD BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 480-256-6444
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Fax | 480-256-3682
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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 | 320651
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 196201
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License Number State | AZ
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