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General NPI Number Information
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NPI Number | 1407809668
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Entity Type | Individual
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Provider Name | LINDA M TOWLE MSN, GNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 95 MONTGOMERY DR STE 222
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City | SANTA ROSA
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State | CA
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Zip | 95404-6629
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Country | US
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Telephone | 707-579-1968
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Fax | 707-542-1970
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Provider Business Mailing Address
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Address Line | 95 MONTGOMERY DR STE 222
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City | SANTA ROSA
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State | CA
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Zip | 95404-6629
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Country | US
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Telephone | 901-273-2368
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Fax | 901-273-2351
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NP10951
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP10951
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License Number State | CA
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