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General NPI Number Information
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NPI Number | 1700109642
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Entity Type | Individual
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Provider Name | DIANA PATRICIA POWELL FNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2010
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 2015 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10453-4303
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Country | US
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Telephone | 718-299-7295
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Fax | 718-299-6797
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Provider Business Mailing Address
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Address Line | 1434 WILLIAMSBRIDGE RD FL 2
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City | BRONX
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State | NY
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Zip | 10461-2507
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Country | US
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Telephone | 718-618-0401
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Fax | 516-483-3794
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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 | CNP1219157
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP034155
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10034873
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0138347
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338120
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15403
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 618692
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1104323
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License Number State | FL
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