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General NPI Number Information
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NPI Number | 1285631325
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Entity Type | Individual
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Provider Name | LINDA CACI CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 60 HOSPITAL ROAD
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City | LEOMINSTER
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State | MA
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Zip | 01453-0000
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Country | US
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Telephone | 978-466-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 N HARRISON PKWY #200
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City | SUNRISE
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State | FL
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Zip | 33323-2853
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Country | US
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Telephone | 954-838-2371
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Fax | 954-514-2859
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0414442311
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN238977
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License Number State | MA
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