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General NPI Number Information
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NPI Number | 1407081771
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Entity Type | Individual
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Provider Name | LINDA S CARUSO ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 2195 JENKS AVE SUITE B
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City | PANAMA CITY
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State | FL
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Zip | 32405-4682
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Country | US
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Telephone | 850-784-6696
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Fax | 850-785-2100
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Provider Business Mailing Address
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Address Line | 2195 JENKS AVE SUITE B
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City | PANAMA CITY
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State | FL
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Zip | 32405-4682
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Country | US
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Telephone | 850-784-6696
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Fax | 850-785-2100
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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 | ARNP1628282
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License Number State | FL
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