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General NPI Number Information
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NPI Number | 1295136786
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Entity Type | Organization
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Legal Business Name | DIAO NURSE PRACTITIONERS LLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 8565 S EASTERN AVE #150
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City | LAS VEGAS
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State | NV
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Zip | 89123-2808
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Country | US
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Telephone | 702-768-1109
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Fax |
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Provider Business Mailing Address
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Address Line | 8565 S EASTERN AVE #150
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City | LAS VEGAS
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State | NV
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Zip | 89123-2808
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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 | FAMILY NURSE PRACTITIONER
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Name | MARIA ZARINA DIAO
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Credential | APRN
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Telephone | 702-768-1109
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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 | APRN001476
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License Number State | NV
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