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General NPI Number Information
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NPI Number | 1295523223
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Entity Type | Individual
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Provider Name | DIANA TRAN TERSHAY NP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1429 E THOUSAND OAKS BLVD STE 100
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-6228
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Country | US
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Telephone | 805-906-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 5717 ROUND MEADOW RD
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City | HIDDEN HILLS
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State | CA
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Zip | 91302-1285
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Country | US
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Telephone | 714-244-6909
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95034385
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License Number State | CA
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