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General NPI Number Information
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NPI Number | 1447200415
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Entity Type | Individual
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Provider Name | LINDA HENRIKSEN NP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5800 HANNUM AVE
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City | CULVER CITY
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State | CA
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Zip | 90230-6553
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Country | US
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Telephone | 310-645-0444
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Fax | 310-216-7336
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Provider Business Mailing Address
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Address Line | 4161 REDONDO BEACH BLVD SUITE 201
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City | LAWNDALE
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State | CA
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Zip | 90260-3306
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Country | US
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Telephone | 310-214-8677
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Fax | 310-921-1718
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | NP389054
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License Number State | CA
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