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General NPI Number Information
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NPI Number | 1033366687
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Entity Type | Individual
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Provider Name | LINDA LOU CHOPLIN MED, LISAC, NBCC, MC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 3530 E INDIAN SCHOOL RD STE 5
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City | PHOENIX
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State | AZ
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Zip | 85018-5141
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Country | US
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Telephone | 602-224-5499
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Fax | 602-274-5791
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Provider Business Mailing Address
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Address Line | 3530 E INDIAN SCHOOL RD STE 5
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City | PHOENIX
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State | AZ
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Zip | 85018-5141
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Country | US
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Telephone | 602-224-5499
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Fax | 602-274-5791
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 40152
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10274
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 40152
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License Number State | SC
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