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Individual
LINDA FAUST
Active
Individual
LINDA FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19122
SC
363L00000X
Nurse Practitioner
5007201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3019
—
SC
01
—
SC50059368
MEDICARE NUMBER
SC
Enumeration date
10/03/2014
Last updated
05/12/2015
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