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General NPI Number Information
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NPI Number | 1841504578
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Entity Type | Individual
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Provider Name | DIANE M CARDIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 980 TEMPLIN AVE
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City | BARDSTOWN
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State | KY
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Zip | 40004-2508
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Country | US
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Telephone | 844-435-0900
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Fax | 270-858-4029
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | BURKESVILLE
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State | KY
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Zip | 42717-1080
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Country | US
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Telephone | 270-858-6655
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Fax | 270-858-4607
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 6579P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3006579
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License Number State | KY
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