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General NPI Number Information
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NPI Number | 1447100177
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Entity Type | Individual
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Provider Name | DIANE C CEBALLOS RN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1385 BROADWAY RM 1005
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City | NEW YORK
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State | NY
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Zip | 10018-6016
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Country | US
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Telephone | 212-695-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 WILLIAMSBRIDGE RD APT 7G
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City | BRONX
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State | NY
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Zip | 10461-6273
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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 |
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 747767
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License Number State | NY
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