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General NPI Number Information
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NPI Number | 1508470030
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Entity Type | Individual
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Provider Name | DIANE CAROL HUDSON-BARR PHD, RN, CNS, CPNP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 436 PARK LN
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City | STATE COLLEGE
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State | PA
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Zip | 16803-1441
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Country | US
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Telephone | 814-954-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 W 2ND ST
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City | OIL CITY
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State | PA
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Zip | 16301-3122
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Country | US
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Telephone | 919-599-4971
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP022983
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License Number State | PA
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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 | 78163
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN245238L
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License Number State | PA
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