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General NPI Number Information
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NPI Number | 1134294838
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Entity Type | Individual
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Provider Name | LINDA W CRAIG MSN RN CS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 101 MAIN ST SUITE #5
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City | COOPERSTOWN
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State | NY
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Zip | 13326
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Country | US
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Telephone | 607-547-1130
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Fax | 607-547-1130
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Provider Business Mailing Address
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Address Line | PO BOX 1102 101 MAIN ST SUITE #5
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City | COOPERSTOWN
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State | NY
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Zip | 13326
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Country | US
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Telephone | 607-547-1130
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Fax | 607-547-1130
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 291456
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 291456
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License Number State | NY
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