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General NPI Number Information
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NPI Number | 1104974971
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Entity Type | Individual
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Provider Name | LINDA P. SILLARS PMHNP, BC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 11/05/2023
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Provider Practice Location Address
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Address Line | 35 STOCKMAN AVE
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City | SACO
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State | ME
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Zip | 04072-1638
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Country | US
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Telephone | 315-253-0341
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Fax | 315-253-1687
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Provider Business Mailing Address
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Address Line | 35 STOCKMAN AVE
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City | SACO
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State | ME
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Zip | 04072-1638
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Country | US
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Telephone | 315-685-1603
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP161060
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License Number State | ME
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