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General NPI Number Information
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NPI Number | 1366166878
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Entity Type | Organization
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Legal Business Name | DIAMOND HEALTH NETWORK AGENCY LLC
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 3478 BUSKIRK AVE STE 1000
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4378
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Country | US
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Telephone | 925-400-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 3478 BUSKIRK AVE STE 1000
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4378
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Country | US
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Telephone | 925-400-7782
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER MANAGER
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Name | LEIAN DIAMOND
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Credential |
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Telephone | 954-299-8690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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