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General NPI Number Information
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NPI Number | 1376731687
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Entity Type | Individual
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Provider Name | PATRICIA DIAZ MD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 1500 21ST AVE S SUITE 2200
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City | NASHVILLE
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State | TN
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Zip | 37212-3160
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Country | US
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Telephone | 615-322-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 363 N STONECROP CT
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City | CLARKSVILLE
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State | TN
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Zip | 37043-1585
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Country | US
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Telephone | 787-406-0697
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 572
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 45497
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License Number State | TN
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