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General NPI Number Information
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NPI Number | 1508022534
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Entity Type | Individual
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Provider Name | DIANA GREVE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 1735 SW HEALTH PKWY STE 201
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City | NAPLES
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State | FL
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Zip | 34109-0421
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Country | US
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Telephone | 219-261-3411
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 HANCOCK BRIDGE PKWY STE. 301
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-7094
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Country | US
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Telephone | 219-261-3411
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000230A
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License Number State | IN
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