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General NPI Number Information
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NPI Number | 1013938604
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Entity Type | Individual
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Provider Name | PAMELA W LINNELL PHD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 1210 N MAIN ST STE 304
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City | ROSWELL
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State | NM
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Zip | 88201-5016
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Country | US
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Telephone | 505-622-4519
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Fax | 505-623-3232
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Provider Business Mailing Address
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Address Line | PO BOX 1178
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City | ROSWELL
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State | NM
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Zip | 88202-1178
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Country | US
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Telephone | 505-622-4519
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Fax | 505-623-3232
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 759
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 759
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License Number State | NM
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