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General NPI Number Information
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NPI Number | 1669706818
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Entity Type | Individual
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Provider Name | LINDA DIANA LANGE DO
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-4926
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Country | US
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Telephone | 813-599-4899
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-0254
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Country | US
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Telephone | 138-599-4899
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 24971
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS22605
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License Number State | FL
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