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General NPI Number Information
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NPI Number | 1689186975
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Entity Type | Individual
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Provider Name | LINDA YVETTE ANDERSON APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 22635 ALESSANDRO BLVD STE B
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City | MORENO VALLEY
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State | CA
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Zip | 92553-8550
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Country | US
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Telephone | 951-242-2226
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Fax | 951-242-8969
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Provider Business Mailing Address
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Address Line | 22635 ALESSANDRO BLVD STE A
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City | MORENO VALLEY
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State | CA
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Zip | 92553-8550
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Country | US
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Telephone | 951-242-2226
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007638
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License Number State | CA
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