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General NPI Number Information
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NPI Number | 1235498015
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Entity Type | Individual
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Provider Name | LINSEY MARIE RUDE R.N.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 6019 AVON LN
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City | MISSOULA
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State | MT
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Zip | 59803-9513
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Country | US
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Telephone | 406-529-2749
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Fax |
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Provider Business Mailing Address
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Address Line | 312 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204
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Country | US
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Telephone | 509-389-6189
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Fax | 509-327-0163
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 34770
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License Number State | MT
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