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General NPI Number Information
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NPI Number | 1598213548
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Entity Type | Individual
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Provider Name | SHERI DEDEEN LINEBERRY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6482 BEULAH CHURCH RD
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City | LIBERTY
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State | NC
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Zip | 27298-9376
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Country | US
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Telephone | 336-858-2318
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Fax |
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Provider Business Mailing Address
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Address Line | 6482 BEULAH CHURCH RD
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City | LIBERTY
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State | NC
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Zip | 27298-9376
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Country | US
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Telephone | 336-858-2318
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Fax | 336-863-8936
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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 | 7918
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 345407
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License Number State | NY
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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 | 5009458
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License Number State | NC
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