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General NPI Number Information
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NPI Number | 1629065859
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Entity Type | Individual
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Provider Name | DIANE DIEP DO O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 1534 S GRAND PKWY
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City | KATY
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State | TX
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Zip | 77494-8257
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Country | US
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Telephone | 281-693-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 202 WILLARD ST
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City | HOUSTON
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State | TX
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Zip | 77006-2142
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Country | US
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Telephone | 713-521-4595
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5799T
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License Number State | TX
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