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General NPI Number Information
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NPI Number | 1467955302
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Entity Type | Individual
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Provider Name | DYANI ALLEN RN
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Gender | Female
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 1915 AUDUBON PL
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City | SHREVEPORT
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State | LA
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Zip | 71105-3425
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Country | US
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Telephone | 318-762-3790
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 AUDUBON PL
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City | SHREVEPORT
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State | LA
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Zip | 71105-3425
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Country | US
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Telephone | 318-762-3790
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number | RN131902
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License Number State | LA
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