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General NPI Number Information
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NPI Number | 1598953606
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Entity Type | Organization
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Legal Business Name | LINDA DAHL, MD, PC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 186 E 76TH ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-2844
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Country | US
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Telephone | 212-920-3047
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Fax | 646-964-9693
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Provider Business Mailing Address
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Address Line | PO BOX 1295
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City | NEW YORK
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State | NY
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Zip | 10021-0039
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Country | US
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Telephone | 212-920-3047
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Fax | 646-964-9693
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. LINDA D DAHL
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Credential | M.D.
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Telephone | 212-920-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 228037
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License Number State | NY
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