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General NPI Number Information
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NPI Number | 1881610756
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Entity Type | Individual
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Provider Name | LINDA A PICKERING WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 220 HIGHWAY 12 W
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City | KOSCIUSKO
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State | MS
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Zip | 39090-3208
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Country | US
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Telephone | 662-290-3150
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Fax | 662-290-3160
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Provider Business Mailing Address
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Address Line | 965 RIDGE LAKE BLVD STE 103
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City | MEMPHIS
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State | TN
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Zip | 38120-9446
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Country | US
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Telephone | 901-227-3255
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Fax | 901-227-8591
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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 | R601969
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License Number State | MS
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