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General NPI Number Information
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NPI Number | 1073551818
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Entity Type | Individual
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Provider Name | LINDA M FREY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 121 HICKORY ST STE 1
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City | MISSOULA
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State | MT
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Zip | 59801-1896
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Country | US
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Telephone | 406-830-3116
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Fax | 406-830-3105
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Provider Business Mailing Address
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Address Line | 121 HICKORY ST STE 1
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City | MISSOULA
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State | MT
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Zip | 59801-1896
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Country | US
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Telephone | 406-830-3116
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Fax | 406-830-3105
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 381
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License Number State | MT
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