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General NPI Number Information
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NPI Number | 1790738375
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Entity Type | Individual
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Provider Name | LINDA ESCH NP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 558 LOCKWOOD LN
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City | MIO
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State | MI
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Zip | 48647-9387
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Country | US
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Telephone | 989-826-9271
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Fax | 989-826-7139
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Provider Business Mailing Address
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Address Line | 4071 24TH AVE PO BOX 460
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City | FORT GRATIOT
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State | MI
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Zip | 48059-3801
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Country | US
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Telephone | 810-824-4222
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Fax | 810-824-4220
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704141842
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License Number State | MI
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