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General NPI Number Information
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NPI Number | 1720480643
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Entity Type | Individual
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Provider Name | DIANE PEARCE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 11505 PALMBRUSH TRL SUITE 200
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-2915
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Country | US
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Telephone | 941-361-1100
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Fax | 941-361-1103
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Provider Business Mailing Address
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Address Line | 145 MEDICAL PARK LN STE K
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City | MURPHY
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State | NC
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Zip | 28906-6663
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Country | US
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Telephone | 855-841-1337
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Fax | 855-841-1338
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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 | APRN-NP2506822
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License Number State | GA
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