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General NPI Number Information
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NPI Number | 1154335685
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Entity Type | Individual
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Provider Name | LINDA E. TALERICO FAMILY PSYCHIATRIC M
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 195-199 WEST DOMINICK STREET
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City | ROME
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State | NY
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Zip | 13440-5855
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Country | US
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Telephone | 315-272-2748
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Fax | 315-272-2740
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Provider Business Mailing Address
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Address Line | 293 GENESEE ST.
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City | UTICA
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State | NY
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Zip | 13501-3804
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Country | US
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Telephone | 315-272-2600
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Fax | 315-733-8169
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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 | F304206-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 304205
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401291
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License Number State | NY
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