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General NPI Number Information
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NPI Number | 1659348670
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Entity Type | Individual
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Provider Name | LINDA ROEDER RN, CNP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 272 BENEDICT AVE
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City | NORWALK
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State | OH
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Zip | 44857-2374
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Country | US
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Telephone | 419-668-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 272 BENEDICT AVE
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City | NORWALK
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State | OH
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Zip | 44857-2374
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Country | US
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Telephone | 419-668-8101
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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 | APRN.CNP.03497
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License Number State | OH
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