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General NPI Number Information
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NPI Number | 1033109640
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Entity Type | Individual
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Provider Name | LINDA MARIE BELDIN-KORTER PHD/LCSW/CADCIII
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Gender | Female
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3301 LOS ARBOLES AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1943
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Country | US
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Telephone | 505-800-7092
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Fax | 505-888-2851
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Provider Business Mailing Address
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Address Line | 16420 SE MCGILLIVRAY BLVD # 103-310
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City | VANCOUVER
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State | WA
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Zip | 98683-3461
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Country | US
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Telephone | 360-931-9122
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Fax | 866-583-8290
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17-10-02
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9978-C
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00005241
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801088449
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L3248
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-10615
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License Number State | NM
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