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General NPI Number Information
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NPI Number | 1720430291
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Entity Type | Individual
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Provider Name | DIANA WARNCKE AUD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 5960 BEACH BLVD STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5113
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Country | US
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Telephone | 904-399-3323
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Fax | 904-399-3360
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Provider Business Mailing Address
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Address Line | 5960 BEACH BLVD STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5113
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Country | US
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Telephone | 904-399-3323
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Fax | 904-399-3360
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | SLP-AU-LIC-11721
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | DA10086
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY2932
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License Number State | FL
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