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General NPI Number Information
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NPI Number | 1902072150
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Entity Type | Individual
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Provider Name | DIANA GUILLEN DINNELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 6701 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2608
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Country | US
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Telephone | 832-822-3180
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 N IH 35 STE 320
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City | AUSTIN
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State | TX
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Zip | 78701-1926
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Country | US
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Telephone | 512-324-8320
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Fax | 512-324-8326
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA06907
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License Number State | TX
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