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General NPI Number Information
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NPI Number | 1326069014
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Entity Type | Individual
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Provider Name | LINDA J BIDDISON AP RN, BC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2524 FARRAGUT DR # C
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City | SPRINGFIELD
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State | IL
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Zip | 62704-8400
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Country | US
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Telephone | 217-698-3505
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Fax | 217-698-3502
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Provider Business Mailing Address
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Address Line | 9138 N TIMBER LN
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City | PEORIA
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State | IL
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Zip | 61615-1449
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Country | US
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Telephone | 309-691-7879
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Fax | 217-872-1704
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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 |
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License Number State | IL
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