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General NPI Number Information
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NPI Number | 1891936852
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Entity Type | Organization
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Legal Business Name | DIANE LATIMER, PSY.D., P.C.
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 3843 ATTUCKS DR. SUITE B
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City | POWELL
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State | OH
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Zip | 43065
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Country | US
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Telephone | 614-553-7815
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Fax | 336-834-0149
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Provider Business Mailing Address
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Address Line | 3843 ATTUCKS DR. SUITE B
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City | POWELL
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State | OH
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Zip | 43065
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Country | US
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Telephone | 614-553-7815
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Fax | 336-834-0149
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANE LATIMER
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Credential | PSY.D.
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Telephone | 336-834-0145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2255
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License Number State | NC
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