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General NPI Number Information
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NPI Number | 1093799884
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Entity Type | Individual
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Provider Name | LINDA LOUISE DEW M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 1035 CAMPUS DR
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City | MUNDELEIN
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State | IL
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Zip | 60060-3834
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Country | US
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Telephone | 847-816-3007
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Fax | 847-680-9391
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Provider Business Mailing Address
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Address Line | 1770 IOWA AVE STE 280
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City | RIVERSIDE
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State | CA
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Zip | 92507-7401
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Country | US
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Telephone | 951-786-0801
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Fax | 847-680-9391
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0025678
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-087115
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 01060862A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036076744
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License Number State | IL
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