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General NPI Number Information
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NPI Number | 1831449453
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Entity Type | Individual
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Provider Name | LINDA ANN PRATSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 2466 E COMMERCIAL BLVD STE 101
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4011
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Country | US
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Telephone | 954-776-4877
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Fax | 954-776-1399
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Provider Business Mailing Address
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Address Line | 250 SE 10TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33060-8828
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Country | US
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Telephone | 954-876-0492
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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 | 2783392
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License Number State | FL
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