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General NPI Number Information
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NPI Number | 1841782265
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Entity Type | Individual
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Provider Name | DIANA OLIVERA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1008 E MCDOWELL RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85006-2603
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Country | US
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Telephone | 602-358-8588
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Fax | 602-688-6991
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Provider Business Mailing Address
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Address Line | 7030 W PONTIAC DR
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City | GLENDALE
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State | AZ
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Zip | 85308-9450
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Country | US
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Telephone | 623-208-8641
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Fax |
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 182604
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License Number State | AZ
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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 | F07180341
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License Number State | AZ
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