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General NPI Number Information
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NPI Number | 1275821274
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Entity Type | Individual
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Provider Name | LINDA FRANCES MCKENNA FNP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 514 ROUTE 299
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City | HIGHLAND
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State | NY
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Zip | 12528-2835
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Country | US
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Telephone | 845-691-9200
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Fax | 845-691-3992
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Provider Business Mailing Address
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Address Line | 1351 ROUTE 55 STE 200
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5128
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Country | US
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Telephone | 845-475-9622
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Fax | 845-475-9938
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F336888
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License Number State | NY
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