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General NPI Number Information
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NPI Number | 1780205823
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Entity Type | Organization
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Legal Business Name | DIAO NP PLLC
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 8972 FRASURE FALLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-7215
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Country | US
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Telephone | 702-768-1109
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Fax |
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Provider Business Mailing Address
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Address Line | 8972 FRASURE FALLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-7215
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Country | US
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Telephone | 702-768-1109
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MARIA ZARINA DIAO
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Credential |
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Telephone | 702-768-1109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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