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General NPI Number Information
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NPI Number | 1750314035
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Entity Type | Individual
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Provider Name | LINDA SAMBORN DO
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 4175 N EUCLID AVE STE 3
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City | BAY CITY
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State | MI
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Zip | 48706-2483
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Country | US
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Telephone | 989-667-0491
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Fax | 989-667-0493
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Provider Business Mailing Address
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Address Line | 1003 WOODSIDE AVE
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City | ESSEXVILLE
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State | MI
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Zip | 48732-1234
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Country | US
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Telephone | 989-892-7722
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Fax | 989-892-7455
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101011227
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License Number State | MI
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