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General NPI Number Information
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NPI Number | 1316897614
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Entity Type | Individual
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Provider Name | DIANA PHILLIPS RN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2030 MOUNTAIN VIEW AVE STE 540
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City | LONGMONT
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State | CO
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Zip | 80501-3183
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Country | US
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Telephone | 303-651-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 676 MCGEAL PL
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City | LAFAYETTE
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State | CO
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Zip | 80026-1168
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Country | US
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Telephone | 303-651-5252
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 1646732
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License Number State | CO
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