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General NPI Number Information
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NPI Number | 1093315285
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Entity Type | Individual
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Provider Name | LINH MY DUONG
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 5160 68TH WAY N
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City | ST PETERSBURG
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State | FL
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Zip | 33709-2842
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Country | US
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Telephone | 727-554-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 6184 49TH AVE N
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City | KENNETH CITY
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State | FL
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Zip | 33709-3306
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11009816
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License Number State | FL
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