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General NPI Number Information
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NPI Number | 1336178755
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Entity Type | Individual
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Provider Name | LINDA ANN CACCAMO CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 250 S 21ST ST
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City | EASTON
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State | PA
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Zip | 18042-3851
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Country | US
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Telephone | 610-250-4300
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Fax | 610-250-4804
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Provider Business Mailing Address
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Address Line | 100 WITMER RD STE 220
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City | HORSHAM
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State | PA
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Zip | 19044-2279
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Country | US
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Telephone | 215-442-5000
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Fax | 215-957-2875
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0017904
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041399722
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | L6-0A00150
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209009608
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN1035967
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704282528
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN620353
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License Number State | PA
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