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General NPI Number Information
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NPI Number | 1801858246
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Entity Type | Individual
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Provider Name | DIANE M MARKVA AU D
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 1165 S CAMINO DEL RIO STE 200B
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City | DURANGO
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State | CO
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Zip | 81303-6824
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Country | US
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Telephone | 970-247-0808
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Fax | 970-238-2630
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Provider Business Mailing Address
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Address Line | 1165 S CAMINO DEL RIO STE 200B
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City | DURANGO
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State | CO
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Zip | 81303-6824
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Country | US
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Telephone | 970-272-0808
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Fax | 970-238-2630
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AUD22007
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AUD.0000952
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License Number State | CO
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