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General NPI Number Information
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NPI Number | 1841633377
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Entity Type | Individual
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Provider Name | VIVIAN T DIAHN
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Gender | Female
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 22803 NORTHRIDGE TERRACE CT
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City | SPRING
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State | TX
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Zip | 77373-5685
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Country | US
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Telephone | 281-723-9442
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Fax | 877-773-4140
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Provider Business Mailing Address
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Address Line | 22803 NORTHRIDGE TERRACE CT
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City | SPRING
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State | TX
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Zip | 77373-5685
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Country | US
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Telephone | 281-723-9442
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Fax | 877-773-4140
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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