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General NPI Number Information
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NPI Number | 1396830873
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Entity Type | Individual
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Provider Name | DIANNA L ESHLEMAN M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/08/2013
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Provider Practice Location Address
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Address Line | MALL 101 SUITE A
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City | DEPOE BAY
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State | OR
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Zip | 97341
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Country | US
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Telephone | 541-765-3265
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Fax | 541-768-3260
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Provider Business Mailing Address
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Address Line | PO BOX 1036 MALL 101 , SUITE A
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City | DEPOE BAY
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State | OR
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Zip | 97341
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Country | US
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Telephone | 541-765-3265
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Fax | 541-765-3260
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 200150092NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200150110NP
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License Number State | OR
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