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General NPI Number Information
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NPI Number | 1679531321
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Entity Type | Individual
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Provider Name | LINDA J BRACKETT CNM
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 630 W MAIN ST STE 102
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City | WILMINGTON
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State | OH
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Zip | 45177-2181
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Country | US
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Telephone | 937-283-2588
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Fax | 937-283-2594
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Provider Business Mailing Address
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Address Line | 4685 FOREST AVE STE C
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City | CINCINNATI
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State | OH
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Zip | 45212-3359
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Country | US
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Telephone | 575-526-1105
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Fax | 575-524-4266
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 715
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN.CNM.08334
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License Number State | OH
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