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General NPI Number Information
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NPI Number | 1639766074
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Entity Type | Individual
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Provider Name | DIANE J ALBANO BSN RN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 107 WEST ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-5732
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Country | US
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Telephone | 413-275-5912
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 760
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City | SOUTH EGREMONT
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State | MA
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Zip | 01258-0760
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Country | US
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Telephone | 413-275-5912
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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 | RN2336221
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License Number State | MA
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