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General NPI Number Information
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NPI Number | 1942201827
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Entity Type | Individual
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Provider Name | LINDA A BERGIN FALLON R.N.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 26 CITY HALL MALL
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City | MEDFORD
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State | MA
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Zip | 02155-4754
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Country | US
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Telephone | 781-306-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 16 GARDNER RD
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City | READING
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State | MA
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Zip | 01867-2750
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Country | US
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Telephone | 617-620-3496
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 199584
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License Number State | MA
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