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General NPI Number Information
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NPI Number | 1275961609
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Entity Type | Individual
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Provider Name | DIANA MARIE ALLOCCO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 738 BANCROFT RD
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1531
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Country | US
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Telephone | 925-938-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 241 FRANCISCO ST APARTMENT #2
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-2042
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Country | US
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Telephone | 703-772-4470
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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 | 95000215
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License Number State | CA
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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 | 0024171070
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License Number State | VA
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