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General NPI Number Information
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NPI Number | 1366528432
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Entity Type | Individual
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Provider Name | LINDA AMICK EARHART I
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MCGUIRE VETERANS MEDICAL CTR 1201 BROAD ROCK BLVD
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City | RICHMOND
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State | VA
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Zip | 23249-0001
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Country | US
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Telephone | 804-675-5862
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Fax |
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Provider Business Mailing Address
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Address Line | 400 PARVIEW PL
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City | GLEN ALLEN
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State | VA
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Zip | 23059-7469
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Country | US
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Telephone | 804-266-8182
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024070716
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License Number State | VA
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