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General NPI Number Information
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NPI Number | 1508827817
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Entity Type | Individual
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Provider Name | DIANE THERESA HUSTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 161 ALGONQUIN RD.
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City | HAMPTON
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State | VA
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Zip | 23661-3402
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Country | US
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Telephone | 757-325-8393
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Fax |
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Provider Business Mailing Address
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Address Line | 161 ALGONQUIN RD.
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City | HAMPTON
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State | VA
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Zip | 23661-3402
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Country | US
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Telephone | 757-325-8393
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2264
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 587291
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024168557
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License Number State | VA
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