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General NPI Number Information
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NPI Number | 1093842031
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Entity Type | Individual
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Provider Name | LINDA M HANEY MD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 108 ALBRIGHT AVE #58
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City | YELLOWSTONE NATIONAL PARK
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State | WY
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Zip | 82190
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Country | US
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Telephone | 307-344-7965
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190930
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City | BOISE
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State | ID
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Zip | 83719-0930
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Country | US
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Telephone | 208-367-5170
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1471950
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10622A
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License Number State | WY
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