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Individual
LYNETTE LINDA BEDFORD
Active
Individual
LYNETTE LINDA BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
497603
NY
163WI0500X
Infusion Therapy Registered Nurse
497603
NY
363LF0000X
Family Nurse Practitioner
33 337076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000000000000
—
NY
Enumeration date
05/05/2009
Last updated
08/14/2018
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