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General NPI Number Information
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NPI Number | 1609997097
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Entity Type | Individual
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Provider Name | DIANE GASKIN PH.D
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 1914 J N PEASE PL
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City | CHARLOTTE
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State | NC
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Zip | 28262-4504
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Country | US
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Telephone | 704-796-7734
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5441
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City | CONCORD
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State | NC
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Zip | 28027-1507
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Country | US
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Telephone | 704-796-7734
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3493
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License Number State | NC
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