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General NPI Number Information
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NPI Number | 1326180712
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Entity Type | Individual
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Provider Name | LINDA M SULLIVAN DSN, RN, ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1633 PHYSICIANS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4620
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Country | US
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Telephone | 850-877-1162
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Fax |
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Provider Business Mailing Address
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Address Line | 3129 BARINGER HILL DR
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City | TALLAHASSEE
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State | FL
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Zip | 32311-3633
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Country | US
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Telephone | 850-877-9709
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Fax | 850-644-7660
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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 | ARNP9223470
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License Number State | FL
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