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Individual
DR. LINDA ANN BLACKMORE
Active
Individual
DR. LINDA ANN BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134162
GATEWAY
VA
01
—
216628
ANTHEM
VA
01
—
288977
MAMSI
VA
01
—
350053242
MEDICARE RAILROAD
VA
Enumeration date
04/19/2007
Last updated
03/18/2011
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