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General NPI Number Information
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NPI Number | 1871649855
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Entity Type | Individual
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Provider Name | LINDA JEAN SPOONHUNTER RN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 44 N TU SU LN
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City | BISHOP
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State | CA
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Zip | 93514-8058
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Country | US
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Telephone | 760-873-7611
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Fax | 760-873-3361
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Provider Business Mailing Address
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Address Line | PO BOX 254
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City | BIG PINE
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State | CA
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Zip | 93513-0254
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Country | US
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Telephone | 760-938-2442
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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 | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | RN500519
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License Number State | CA
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