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NPI Code Detail

MEDICARE: GRACE LINDER

MEDICARE: GRACE LINDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist10225TX

General Provider Information

NPI Number : 1619326071
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE LINDER
Provider Business Mailing Address
First Line : 4431 68TH ST
Second Line :
City : FORT HOOD
State : TX
Zip : 76544-5042
Country : US
Telephone Number : 254-287-1225
Fax Number :
Provider Business Practice Location Address
First Line : 4431 68TH ST
Second Line :
City : FORT HOOD
State : TX
Zip : 76544-5042
Country : US
Telephone Number : 254-287-1225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2016
Last Update Date : 06/07/2016

Similar Medicare Providers

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1912356346 — JOSEFA DEL CARMEN JARAVALERO EFDA
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Directions to “ GRACE LINDER ” Practice Location

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