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General NPI Number Information
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NPI Number | 1477063006
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Entity Type | Individual
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Provider Name | DIAKHOMBA DIABY NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 1800 FARM ROAD 195
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City | PARIS
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State | TX
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Zip | 75462-2806
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Country | US
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Telephone | 903-739-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 FARM ROAD 195
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City | PARIS
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State | TX
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Zip | 75462-2806
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 744511
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 744511
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 744511
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP135477
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License Number State | TX
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