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General NPI Number Information
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NPI Number | 1255416475
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Entity Type | Individual
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Provider Name | LINDA LOUISE REXFORD MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 1 COMMERCE ST SUITE 100
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City | LINCOLN
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State | RI
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Zip | 02865-1186
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Country | US
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Telephone | 401-793-8484
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Fax | 401-793-8481
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Provider Business Mailing Address
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Address Line | 1 COMMERCE ST SUITE 100
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City | LINCOLN
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State | RI
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Zip | 02865-1186
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Country | US
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Telephone | 401-793-8484
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Fax | 401-793-8481
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5583
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License Number State | RI
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