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General NPI Number Information
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NPI Number | 1033113873
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Entity Type | Individual
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Provider Name | LINDA M MACKLEER CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 246 WHEATSHEAF LN
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City | LANGHORNE
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State | PA
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Zip | 19047-1551
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Country | US
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Telephone | 215-757-5594
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Fax |
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Provider Business Mailing Address
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Address Line | 905 GILMAN RD
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City | HORSHAM
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State | PA
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Zip | 19044-1001
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Country | US
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Telephone | 215-542-0176
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN207095L
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License Number State | PA
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