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General NPI Number Information
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NPI Number | 1245347822
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Entity Type | Individual
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Provider Name | LINDA P EKERT NP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 48 ROUTE 25 SUITE 207
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City | SMITHTOWN
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State | NY
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Zip | 11787
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Country | US
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Telephone | 631-862-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 900 MERCHANTS CONCOURSE STE 216
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City | WESTBURY
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State | NY
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Zip | 11590-5114
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Country | US
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Telephone | 516-226-8373
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 282751
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP1700X
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Taxonomy Name | Perinatal Nurse Practitioner
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License Number | 282751
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License Number State | NY
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