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General NPI Number Information
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NPI Number | 1609804061
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Entity Type | Individual
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Provider Name | LINDA M DEAN ANP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 26351 PATRIOTS WAY 102 LLOYD LANE
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City | GEORGETOWN
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State | DE
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Zip | 19947-2575
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Country | US
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Telephone | 302-933-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 29 LAKESHORE DR
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City | LEWES
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State | DE
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Zip | 19958-9582
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Country | US
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Telephone | 215-740-7060
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP003309C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | LB-0000236
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License Number State | DE
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