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General NPI Number Information
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NPI Number | 1851675912
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Entity Type | Individual
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Provider Name | DIANE TILUS CNS
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Gender | Female
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 300 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210-1280
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Country | US
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Telephone | 614-366-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210-1280
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Country | US
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Telephone | 614-366-5060
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 167411
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | COA06239
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License Number State | OH
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