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General NPI Number Information
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NPI Number | 1033273875
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Entity Type | Individual
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Provider Name | LINDA JEAN KERR RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 10611 LANTERN BAY CV
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City | FORT WAYNE
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State | IN
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Zip | 46845-2126
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Country | US
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Telephone | 260-637-2982
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Fax |
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Provider Business Mailing Address
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Address Line | 10611 LANTERN BAY CV
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City | FORT WAYNE
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State | IN
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Zip | 46845-2126
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Country | US
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Telephone | 260-637-2982
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28089243A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 28089243A
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License Number State | IN
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