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General NPI Number Information
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NPI Number | 1295836112
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Entity Type | Individual
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Provider Name | DONNA LEE LINKOUS C-FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 1802 HARPER RD SUITE 102
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City | BECKLEY
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State | WV
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Zip | 25801-3375
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Country | US
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Telephone | 304-252-9211
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Fax | 304-252-9218
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Provider Business Mailing Address
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Address Line | PO BOX 902
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City | SHADY SPRING
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State | WV
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Zip | 25918-0902
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Country | US
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Telephone | 681-238-8239
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Fax | 304-252-9218
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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 | 39049
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License Number State | WV
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