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General NPI Number Information
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NPI Number | 1861992836
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Entity Type | Individual
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Provider Name | DIANE PATRICIA MCMANNERS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 17115 BOUGAINVILLA LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-3424
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Country | US
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Telephone | 713-201-2462
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Fax |
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Provider Business Mailing Address
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Address Line | 11946 RAMLA PLACE TRL
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City | HOUSTON
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State | TX
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Zip | 77089-2796
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Country | US
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Telephone | 713-201-2462
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Fax | 713-201-2462
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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