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General NPI Number Information
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NPI Number | 1942448774
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Entity Type | Individual
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Provider Name | LINDA MICHELLE MCCALLISTER RN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 5201 RAYMOND ST
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City | ORLANDO
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State | FL
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Zip | 32803-8208
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Country | US
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Telephone | 407-629-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 3910 PLAYA DEL SOL DR UNIT 202
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4522
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Country | US
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Telephone | 321-632-7433
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9169373
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN152143
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60033048
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License Number State | WA
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