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General NPI Number Information
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NPI Number | 1285290106
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Entity Type | Individual
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Provider Name | LINDA L MALDONADO MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 811 REDGATE AVE
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City | NORFOLK
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State | VA
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Zip | 23507-1515
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Country | US
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Telephone | 757-668-7200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11049
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City | NORFOLK
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State | VA
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Zip | 23517-0049
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Country | US
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Telephone | 576-668-7200
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024177610
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License Number State | VA
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