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General NPI Number Information
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NPI Number | 1710087580
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Entity Type | Individual
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Provider Name | LINDA S SIKORA MSN, APRN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 4646 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-576-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 11483 CEDAR LN
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City | PLYMOUTH
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State | MI
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Zip | 48170-4535
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Country | US
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Telephone | 734-453-8597
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704132182
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License Number State | MI
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