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General NPI Number Information
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NPI Number | 1437093275
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Entity Type | Organization
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Legal Business Name | DIANA KAN LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 901 S ROGERS ST STE 203
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4760
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Country | US
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Telephone | 765-537-8565
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Fax |
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Provider Business Mailing Address
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Address Line | 901 S ROGERS ST STE 203
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4760
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | CHI-WEI (DIANA) KAN
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Credential | LMHC
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Telephone | 812-955-8689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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