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General NPI Number Information
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NPI Number | 1538144266
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Entity Type | Individual
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Provider Name | DIANE C BOHNER MD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 4755 OGLETOWN STANTON RD NEWARK
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City | NEWARK
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State | DE
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Zip | 19718-0001
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Country | US
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Telephone | 302-733-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30170 WILMINGTON
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City | WILMINGTON
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State | DE
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Zip | 19805-7170
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C10004822
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License Number State | DE
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