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General NPI Number Information
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NPI Number | 1356071666
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Entity Type | Individual
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Provider Name | LINDA ANNE GRACE RN, BS
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Gender | Female
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 11/12/2022
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Provider Practice Location Address
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Address Line | 10507 GARDEN GROVE BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1128
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Country | US
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Telephone | 714-689-2300
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Fax | 714-689-2301
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Provider Business Mailing Address
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Address Line | 7876 RIVERSIDE DR
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City | PARKER
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State | AZ
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Zip | 85344-7201
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Country | US
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Telephone | 714-681-3999
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Fax | 714-755-3648
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 328667
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 328667
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 328667
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 328667
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 328667
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 328667
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 328667
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License Number State | CA
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