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General NPI Number Information
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NPI Number | 1780809319
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Entity Type | Individual
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Provider Name | LINDA RUTH CANNING LPN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 212 BLUE BALL AVE
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City | ELKTON
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State | MD
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Zip | 21921-5222
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Country | US
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Telephone | 410-620-6077
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Fax | 410-620-6081
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Provider Business Mailing Address
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Address Line | 32 READING RD
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City | EARLEVILLE
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State | MD
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Zip | 21919-2042
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Country | US
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Telephone | 410-275-2964
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP30992
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License Number State | MD
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