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General NPI Number Information
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NPI Number | 1972636686
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Entity Type | Individual
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Provider Name | TONYA A LINTHACUM APRN,BC,FNP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1701 E BROADWAY STE 302
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City | COLUMBIA
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State | MO
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Zip | 65201-8018
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Country | US
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Telephone | 573-815-8277
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Fax | 573-815-8278
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Provider Business Mailing Address
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Address Line | 1400 WAR ADMIRAL DR
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City | COLUMBIA
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State | MO
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Zip | 65202-4857
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Country | US
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Telephone | 573-875-5115
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 128494
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License Number State | MO
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