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NPI Code Detail

MEDICARE: DIANE DUFFY

MEDICARE: DIANE DUFFY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist8311CA

General Provider Information

NPI Number : 1194227017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE DUFFY
Provider Business Mailing Address
First Line : 11723 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2816
Country : US
Telephone Number : 916-961-2154
Fax Number : 916-880-5619
Provider Business Practice Location Address
First Line : 11723 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2816
Country : US
Telephone Number : 916-961-2154
Fax Number : 916-880-5619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2018
Last Update Date : 03/07/2018

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Directions to “ DIANE DUFFY ” Practice Location

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