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General NPI Number Information
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NPI Number | 1447240486
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Entity Type | Individual
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Provider Name | LINDA K MANLEY CNP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 4750 HEMPSTEAD STATION DR
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City | KETTERING
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State | OH
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Zip | 45429-5164
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Country | US
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Telephone | 800-875-0136
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Fax | 619-619-4381
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | FRANKLIN
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State | OH
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Zip | 45005-2584
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Country | US
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Telephone | 513-312-3656
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP07210
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License Number State | OH
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