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General NPI Number Information
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NPI Number | 1790787349
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Entity Type | Individual
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Provider Name | LINDA F FORSYTHE CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 500 S CLEVELAND AVE ANESTHESIA DEPT
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City | WESTERVILLE
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State | OH
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Zip | 43081-8971
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Country | US
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Telephone | 614-898-6659
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Fax | 614-898-8631
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Provider Business Mailing Address
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Address Line | PO BOX 20452 COA CREDENTIALING
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City | COLUMBUS
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State | OH
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Zip | 43220-0452
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Country | US
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Telephone | 614-442-2406
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Fax | 614-442-2410
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | COA.01739-NA
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License Number State | OH
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