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NPI 1669533758

NPI 1669533758 : DIANE DUFFY NNP : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1669533758
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    Entity Type          |    Individual 
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    Provider Name        |    DIANE DUFFY NNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    10/13/2016
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Provider Practice Location Address
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    Address Line         |    100 HOSPITAL DR 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28792-5272
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    Country              |    US
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    Telephone            |    828-681-2294
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    Fax                  |    828-681-2749
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1869 
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    City                 |    FLETCHER
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    State                |    NC
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    Zip                  |    28732-1869
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    Country              |    US
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    Telephone            |    828-687-5616
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    Fax                  |    828-650-8076
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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        |    363LN0005X
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    Taxonomy Name        |    Critical Care Neonatal Nurse Practitioner
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    License Number       |    200400252
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363LN0000X
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    Taxonomy Name        |    Neonatal Nurse Practitioner
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    License Number       |    200400252
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    License Number State |    NC
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