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General NPI Number Information
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NPI Number | 1073464962
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Entity Type | Individual
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Provider Name | LINDA MARIE KERR RN
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 3192 GLEN CANYON RD
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-4916
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Country | US
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Telephone | 831-269-5578
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Fax |
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Provider Business Mailing Address
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Address Line | 161 MIDDLE DR
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City | BEN LOMOND
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State | CA
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Zip | 95005-9216
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Country | US
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Telephone | 831-269-3525
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 604437
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License Number State | CA
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