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General NPI Number Information
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NPI Number | 1366325250
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Entity Type | Individual
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Provider Name | DIANNA AKESH
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 999 S FAIRMONT AVE
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City | LODI
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State | CA
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Zip | 95240-5100
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Country | US
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Telephone | 209-334-0799
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Fax |
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Provider Business Mailing Address
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Address Line | 5505 PRAIRIE DAWN WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-8328
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Country | US
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Telephone | 714-598-8954
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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 | 95384556
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License Number State | CA
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