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General NPI Number Information
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NPI Number | 1184659393
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Entity Type | Individual
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Provider Name | LINDA CAROLYN LANGSTON PA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 310A S HULL ST
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City | MONTGOMERY
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State | AL
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Zip | 36104-4210
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Country | US
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Telephone | 334-553-8870
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Fax | 334-460-3392
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Provider Business Mailing Address
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Address Line | 22 MONROE ST APT 2B
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City | MONTGOMERY
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State | AL
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Zip | 36104-3621
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Country | US
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Telephone | 334-553-8870
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Fax | 334-460-3392
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-164
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License Number State | AL
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