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General NPI Number Information
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NPI Number | 1255880415
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Entity Type | Individual
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Provider Name | LINDA MARCHIONNA APRN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 1111 7TH AVE N STE 107
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1348
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Country | US
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Telephone | 727-894-6703
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Fax | 727-894-1430
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Provider Business Mailing Address
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Address Line | 1583 SIMMONS DR
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City | CLEARWATER
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State | FL
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Zip | 33756-2326
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Country | US
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Telephone | 727-735-7889
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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 | ARNP2892772
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN2892772
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN2892772
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License Number State | FL
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