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General NPI Number Information
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NPI Number | 1477007052
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Entity Type | Individual
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Provider Name | DIANE E HANCOCK NP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 421 CHESTNUT ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1227
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Country | US
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Telephone | 812-405-6746
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Fax | 812-450-4665
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Provider Business Mailing Address
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Address Line | PO BOX 3868
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City | EVANSVILLE
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State | IN
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Zip | 47737-3868
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-4665
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71006635A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28097323A
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License Number State | IN
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