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General NPI Number Information
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NPI Number | 1386561975
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Entity Type | Individual
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Provider Name | STEVIE RAE DIEHL RN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 155 5TH ST NE
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City | BARBERTON
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State | OH
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Zip | 44203-3332
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Country | US
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Telephone | 234-571-6317
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Fax |
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Provider Business Mailing Address
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Address Line | 598 SAGUARO PL
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City | BARBERTON
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State | OH
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Zip | 44203-8628
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Country | US
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Telephone | 234-571-6317
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 417100
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License Number State | OH
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