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General NPI Number Information
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NPI Number | 1871709949
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Entity Type | Organization
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Legal Business Name | ELIZABETH LINDER DDS PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 36314 US HWY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684
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Country | US
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Telephone | 727-781-6116
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Fax | 727-781-1605
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Provider Business Mailing Address
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Address Line | 36314 US HWY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684
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Country | US
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Telephone | 727-781-6116
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Fax | 727-781-1605
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | ELIZABETH A LINDER
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Credential | DDS
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Telephone | 727-781-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN0013305
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License Number State | FL
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