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General NPI Number Information
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NPI Number | 1013064674
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Entity Type | Organization
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Legal Business Name | LINDA C DANIELS PHD LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 1990 E LOHMAN AVE SUITE 202
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City | LAS CRUCES
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State | NM
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Zip | 88001-3172
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Country | US
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Telephone | 575-528-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 E LOHMAN AVE SUITE 202
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City | LAS CRUCES
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State | NM
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Zip | 88001-3172
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Country | US
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Telephone | 575-528-6166
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA C. DANIELS
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Credential |
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Telephone | 575-528-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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