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Individual
LINDA M DINERMAN
Active
Individual
LINDA M DINERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
24103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005005203
AETNA
—
01
—
51505321
BLUE CROSS BLUE SHIELD
AL
01
—
631284727
TAX ID
—
Enumeration date
11/09/2005
Last updated
01/18/2010
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