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General NPI Number Information
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NPI Number | 1336993351
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Entity Type | Individual
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Provider Name | AISSATA DIALLO RN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 270 S COLLINS RD STE 300
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City | SUNNYVALE
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State | TX
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Zip | 75182-4642
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Country | US
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Telephone | 469-864-7586
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 NEIL AVE
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City | COLUMBUS
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State | OH
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Zip | 43210-1216
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Country | US
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Telephone | 614-292-8900
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1189749
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1189749
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.519350
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License Number State | OH
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