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General NPI Number Information
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NPI Number | 1992815450
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Entity Type | Individual
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Provider Name | DIANA HOULE P.A.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 16430 W YUMA RD
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City | GOODYEAR
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State | AZ
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Zip | 85338-3102
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Country | US
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Telephone | 623-465-6405
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Fax |
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Provider Business Mailing Address
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Address Line | 16947 W CAMBRIDGE AVE
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City | GOODYEAR
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State | AZ
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Zip | 85395-1926
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Country | US
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Telephone | 623-215-8140
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Fax | 757-490-9401
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7813
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License Number State | AZ
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