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General NPI Number Information
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NPI Number | 1801061635
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Entity Type | Individual
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Provider Name | DIANNE M MISKINIS CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 9000 ROCKVILLE PIKE 10 CRC/5W3750
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-594-5945
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Fax | 301-451-5358
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Provider Business Mailing Address
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Address Line | 11310 ROKEBY AVE #3
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City | GARRETT PARK
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State | MD
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Zip | 20896
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Country | US
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Telephone | 301-933-6686
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Fax | 301-451-5358
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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 | R114942
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License Number State | MD
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