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General NPI Number Information
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NPI Number | 1740249291
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Entity Type | Individual
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Provider Name | DIANE LYNNE HOLMES MPT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 N HIGHLAND AVE VINTAGE/COMMUNITY LIFE
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City | PITTSBURGH
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State | PA
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Zip | 15206-2926
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Country | US
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Telephone | 412-952-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 208 ORANGE ST
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-856-0298
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT016016
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License Number State | PA
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