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General NPI Number Information
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NPI Number | 1811085426
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Entity Type | Organization
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Legal Business Name | DR DIANE E KING MD INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 233 WASECA AVE
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City | BARRINGTON
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State | RI
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Zip | 02806
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Country | US
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Telephone | 401-247-0006
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Fax | 401-247-0001
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Provider Business Mailing Address
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Address Line | 464 MAPLE AVE SUITE 2
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City | BARRINGTON
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State | RI
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Zip | 02806-3424
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Country | US
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Telephone | 401-247-0006
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Fax | 401-247-0001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANE EVE KING
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Credential | MD
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Telephone | 401-230-6265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CMD7639
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License Number State | RI
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