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General NPI Number Information
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NPI Number | 1649160839
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Entity Type | Individual
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Provider Name | AUTUMN HOPE DIEHL BSN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 134 TEMPLEMAN AVE
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City | CECILIA
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State | KY
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Zip | 42724-9617
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Country | US
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Telephone | 270-734-6554
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Fax | 270-734-6554
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Provider Business Mailing Address
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Address Line | 2407 RING RD STE 108
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5938
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Country | US
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Telephone | 270-979-7118
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4041609
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License Number State | KY
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