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General NPI Number Information
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NPI Number | 1023068731
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Entity Type | Organization
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Legal Business Name | LINDA'S PHARMACY, INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 2339B S WENTWORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60616-2013
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Country | US
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Telephone | 312-791-0533
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Fax | 312-791-0402
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Provider Business Mailing Address
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Address Line | 2339B S WENTWORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60616-2013
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Country | US
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Telephone | 312-791-0533
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Fax | 312-791-0402
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | DR. LINDA DOBSON
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Credential | PHARMD
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Telephone | 312-791-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051038905
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License Number State | IL
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