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General NPI Number Information
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NPI Number | 1588190755
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH DIEM FNP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 955 N MICHIGAN AVE STE 4
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City | GREENSBURG
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State | IN
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Zip | 47240-1487
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Country | US
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Telephone | 812-662-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 2871 S STATE ROAD 129
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City | VERSAILLES
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State | IN
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Zip | 47042-9114
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Country | US
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Telephone | 812-756-2965
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1111959
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71007568A
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License Number State | IN
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