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NPI 1154386449

NPI 1154386449 : LINDA S CRUSE D.P.T. : LAKE PLACID, FL

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General NPI Number Information
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    NPI Number           |    1154386449
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA S CRUSE D.P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/19/2006
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    145 TOWER ST 
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    City                 |    LAKE PLACID
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    State                |    FL
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    Zip                  |    33852-6836
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    Country              |    US
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    Telephone            |    863-465-9991
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    Fax                  |    863-465-9906
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Provider Business Mailing Address
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    Address Line         |    145 TOWER ST 
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    City                 |    LAKE PLACID
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    State                |    FL
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    Zip                  |    33852-6836
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    Country              |    US
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    Telephone            |    863-465-9991
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    Fax                  |    863-465-9906
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    PT19782
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    License Number State |    FL
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