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General NPI Number Information
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NPI Number | 1417219601
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Entity Type | Individual
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Provider Name | LINDA ANN WALDRON RN, NP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 115 LINCOLN ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6358
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Country | US
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Telephone | 508-383-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 5 OLEAN ST
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City | WORCESTER
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State | MA
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Zip | 01602-4116
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Country | US
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Telephone | 508-757-3418
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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 | MA210285
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License Number State | MA
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