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General NPI Number Information
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NPI Number | 1881771186
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Entity Type | Individual
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Provider Name | LINDA MARIE THORNTON
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 994 RESERVOIR AVE
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City | CRANSTON
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State | RI
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Zip | 02910-5122
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Country | US
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Telephone | 401-946-1155
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Fax | 401-942-2303
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Provider Business Mailing Address
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Address Line | 994 RESERVOIR AVE
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City | CRANSTON
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State | RI
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Zip | 02910-5122
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Country | US
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Telephone | 401-946-1155
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Fax | 401-942-2303
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 236
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License Number State | RI
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