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General NPI Number Information
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NPI Number | 1295701795
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Entity Type | Individual
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Provider Name | DIANA NOVAKOVIC KESSLER DO
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 195 WHITE OAK RD STE 100
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City | DAYTON
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State | TN
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Zip | 37321-3321
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Country | US
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Telephone | 423-285-6240
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Fax | 877-276-2910
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Provider Business Mailing Address
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Address Line | 195 WHITE OAK RD STE 100
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City | DAYTON
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State | TN
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Zip | 37321-3321
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Country | US
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Telephone | 423-285-6240
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Fax | 877-276-2910
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2354
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02354
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License Number State | TN
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