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NPI 1891725404

NPI 1891725404 : LINDA J ROBERTSON APRN-BC : N. BELLMORE, NY

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General NPI Number Information
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    NPI Number           |    1891725404
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA J ROBERTSON APRN-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2006
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    Last Update Date     |    06/03/2016
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Provider Practice Location Address
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    Address Line         |    1918 BELLMORE AVE 
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    City                 |    N. BELLMORE
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    State                |    NY
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    Zip                  |    11710
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    Country              |    US
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    Telephone            |    516-316-2637
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    Fax                  |    516-486-2970
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Provider Business Mailing Address
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    Address Line         |    1918 BELLMORE AVE 
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    City                 |    N. BELLMORE
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    State                |    NY
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    Zip                  |    11710
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    Country              |    US
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    Telephone            |    516-316-2637
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    Fax                  |    516-486-2970
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    F400811-0
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    364SP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    F400811-0
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    License Number State |    NY
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