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General NPI Number Information
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NPI Number | 1487352308
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Entity Type | Organization
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Legal Business Name | LINDA SANCETTA NP IN ADULT HEALTH, PLLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 609 ROUTE 109 STE 2B4
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City | WEST BABYLON
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State | NY
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Zip | 11704-5072
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Country | US
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Telephone | 516-262-3515
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Fax |
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Provider Business Mailing Address
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Address Line | 854 E BROADWAY APT 6G
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City | LONG BEACH
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State | NY
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Zip | 11561-4733
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Country | US
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Telephone | 516-421-2274
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA SANCETTA
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Credential | NP
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Telephone | 516-262-3515
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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 |
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License Number State |
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