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General NPI Number Information
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NPI Number | 1316825482
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Entity Type | Individual
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Provider Name | DIANA KIM HOUSTON RN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 602 E ACADEMY ST STE 205
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2382
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Country | US
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Telephone | 919-635-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SILENT COVE LN
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-4916
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Country | US
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Telephone | 910-568-9166
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 321300
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License Number State | NC
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