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General NPI Number Information
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NPI Number | 1730289356
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Entity Type | Individual
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Provider Name | LINDA ANN EVERSOLE A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2002 NW 13TH ST SUITE 100
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City | GAINESVILLE
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State | FL
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Zip | 32609-5414
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Country | US
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Telephone | 352-271-5263
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Fax | 352-271-5264
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Provider Business Mailing Address
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Address Line | 905 NE 3RD AVE
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City | GAINESVILLE
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State | FL
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Zip | 32601-5674
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Country | US
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Telephone | 352-378-3146
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Fax | 352-378-3146
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP2838772
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License Number State | FL
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