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General NPI Number Information
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NPI Number | 1427077742
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Entity Type | Individual
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Provider Name | DEISY DIAZ DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 6750 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3903
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Country | US
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Telephone | 954-342-9822
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Fax |
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Provider Business Mailing Address
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Address Line | 4691 SW 110TH AVE
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City | DAVIE
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State | FL
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Zip | 33328-3224
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Country | US
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Telephone | 305-934-7076
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9179779
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License Number State | FL
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