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General NPI Number Information
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NPI Number | 1447238548
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Entity Type | Individual
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Provider Name | LINDA S BOYLAN-STARKS NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1025 MARSH ST
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City | MANKATO
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State | MN
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Zip | 56001-4752
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Country | US
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Telephone | 507-625-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 MARSH ST
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City | MANKATO
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State | MN
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Zip | 56001-4752
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Country | US
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Telephone | 507-625-4031
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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 | 179263
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | CNP 4679
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-179263
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 111338
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 4679
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License Number State | MN
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