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General NPI Number Information
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NPI Number | 1457577157
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Entity Type | Individual
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Provider Name | SHEILA JUDY LINZ NP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 651 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3703
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Country | US
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Telephone | 212-740-1780
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Fax | 212-740-1743
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Provider Business Mailing Address
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Address Line | PO BOX 493
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City | ROOSEVELT
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State | NJ
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Zip | 08555-0493
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Country | US
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Telephone | 609-462-7311
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400654
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License Number State | NY
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