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General NPI Number Information
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NPI Number | 1780722280
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Entity Type | Individual
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Provider Name | LINDA N ROLAND N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 204 CHIPLEY ST.
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City | CARTHAGE
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State | MS
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Zip | 39051
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Country | US
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Telephone | 601-267-3072
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Fax | 601-267-6277
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Provider Business Mailing Address
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Address Line | 769 CRANE RD
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City | CARTHAGE
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State | MS
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Zip | 39051-6110
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Country | US
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Telephone | 601-267-5027
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R505307
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License Number State | MS
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