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General NPI Number Information
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NPI Number | 1336264118
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Entity Type | Organization
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Legal Business Name | LINDA EDNALINO MD PC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9015 ROCKAWAY BEACH BLVD
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1531
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Country | US
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Telephone | 718-241-1513
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Fax |
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Provider Business Mailing Address
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Address Line | 849 MOORE ST
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City | WOODMERE
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State | NY
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Zip | 11598-2315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA EDNALINO
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Credential | MD
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Telephone | 212-255-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 153923
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License Number State | NY
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