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General NPI Number Information
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NPI Number | 1447350285
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Entity Type | Individual
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Provider Name | LINDA J MCKINNEY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 256 STATE HIGHWAY Y
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City | FORSYTH
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State | MO
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Zip | 65653-5618
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Country | US
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Telephone | 417-546-4200
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Fax | 417-546-4505
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Provider Business Mailing Address
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Address Line | 1440 ST HWY 248 -J
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City | BRANSON
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State | MO
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Zip | 65616
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Country | US
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Telephone | 417-239-0706
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Fax | 417-546-0768
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 088946
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License Number State | MO
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