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General NPI Number Information
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NPI Number | 1821098369
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Entity Type | Individual
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Provider Name | LINDA ELD CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 16490 W 78TH ST
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City | EDEN PRAIRIE
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State | MN
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Zip | 55346
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Country | US
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Telephone | 952-934-5332
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Fax | 952-934-2647
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Provider Business Mailing Address
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Address Line | 50 BERRY ROAD
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-222-1125
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Fax | 724-222-1373
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | VP004868B
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License Number State | PA
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