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General NPI Number Information
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NPI Number | 1023242674
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Entity Type | Individual
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Provider Name | LINDA LINDBERG FNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 641 W WARNER RD
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City | GILBERT
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State | AZ
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Zip | 85233-7266
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Country | US
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Telephone | 480-722-9828
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Fax | 480-722-9831
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Provider Business Mailing Address
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Address Line | 280 1ST ST
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City | HOLLOMAN AFB
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State | NM
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Zip | 88330-8273
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Country | US
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Telephone | 575-572-2778
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3168
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License Number State | AZ
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