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NPI Code Detail

MEDICARE: MRS. LINDA WHITNEY SPALL RN

MEDICARE: MRS. LINDA WHITNEY SPALL RN
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
1163WS0200XSchool Registered Nurse233770-1NY

General Provider Information

NPI Number : 1447552922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA WHITNEY SPALL RN
Provider Business Mailing Address
First Line : 750 MAIDEN LN
Second Line :
City : ROCHESTER
State : NY
Zip : 14615-1230
Country : US
Telephone Number : 585-966-5205
Fax Number : 585-581-8129
Provider Business Practice Location Address
First Line : 750 MAIDEN LN
Second Line :
City : ROCHESTER
State : NY
Zip : 14615-1230
Country : US
Telephone Number : 585-966-5205
Fax Number : 585-581-8129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2010
Last Update Date : 12/03/2010

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