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General NPI Number Information
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NPI Number | 1366697971
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Entity Type | Individual
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Provider Name | LINDA LLOYD MCDERMOTT CNM, FNP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 2211 W MAGNOLIA BLVD #270
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City | BURBANK
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State | CA
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Zip | 91506-1753
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Country | US
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Telephone | 818-848-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 842 N LAMER ST
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City | BURBANK
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State | CA
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Zip | 91506-1529
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 372227
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1086
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License Number State | CA
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