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General NPI Number Information
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NPI Number | 1396859609
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Entity Type | Individual
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Provider Name | CHARLOTTE LINDA LINTZ MSN-CS, ARNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 619 S MARION AVE
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City | LAKE CITY
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State | FL
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Zip | 32025-5808
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Country | US
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Telephone | 386-755-3016
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Fax | 386-754-6456
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Provider Business Mailing Address
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Address Line | 909 SW 75TH WAY
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City | GAINESVILLE
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State | FL
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Zip | 32607-4919
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Country | US
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Telephone | 386-755-3016
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Fax | 386-754-6456
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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 | 486912
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License Number State | FL
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