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General NPI Number Information
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NPI Number | 1720542483
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Entity Type | Individual
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Provider Name | DIANA M. SETTLES MAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIRCLE, SUITE 1100
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2103
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Country | US
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Telephone | 757-953-0956
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Fax |
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Provider Business Mailing Address
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Address Line | 193 WHITES NECK LN
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City | KNOTTS ISLAND
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State | NC
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Zip | 27950-9636
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Country | US
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Telephone | 757-818-5749
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 174450X
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License Number State | VA
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