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General NPI Number Information
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NPI Number | 1770139545
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Entity Type | Individual
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Provider Name | DIAMOND JEAN BAPTISTE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 4800 W 135TH ST STE 200
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City | LEAWOOD
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State | KS
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Zip | 66224-8721
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Country | US
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Telephone | 913-261-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 21530 W 54TH ST
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City | SHAWNEE
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State | KS
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Zip | 66226-9768
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Country | US
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Telephone | 903-215-1514
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025003964
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License Number State | MO
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