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General NPI Number Information
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NPI Number | 1659547289
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Entity Type | Individual
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Provider Name | LINLEY MAURINE STANGER RN
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Gender | Female
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Dates
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Enumeration Date | 05/04/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 751 ALISSA CT
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City | HOLLISTER
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State | CA
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Zip | 95023-5647
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Country | US
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Telephone | 831-630-5870
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Fax | 831-630-5870
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Provider Business Mailing Address
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Address Line | 751 ALISSA CT
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City | HOLLISTER
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State | CA
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Zip | 95023-5647
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Country | US
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Telephone | 831-630-5870
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Fax | 831-630-5870
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | N9682
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | N9682
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License Number State | ID
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