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NPI Code Detail

MEDICARE: LINDA ADEDURO NP

MEDICARE:   LINDA  ADEDURO  NP
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
1363LF0000XFamily Nurse Practitioner95006357CA

General Provider Information

NPI Number : 1639604192
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA ADEDURO NP
Provider Business Mailing Address
First Line : 15571 LUCKY PL
Second Line :
City : SYLMAR
State : CA
Zip : 91342-3570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2225 E RANDOL MILL RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-6315
Country : US
Telephone Number : 310-292-7982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2017
Last Update Date : 12/08/2021

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Directions to “ LINDA ADEDURO NP” Practice Location

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