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General NPI Number Information
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NPI Number | 1114253556
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Entity Type | Organization
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Legal Business Name | LEARNING LINKS EDUCATIONAL NETWORK SERVICES CENTER
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 5780 RAMSEY STREET
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-3416
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Country | US
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Telephone | 910-823-6214
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Fax | 910-840-0076
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Provider Business Mailing Address
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Address Line | 5780 RAMSEY STREET
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-3416
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Country | US
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Telephone | 910-823-6214
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Fax | 910-840-0076
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Authorized Official
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Title or Position | CEO
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Name | MS. SANDRA ELLIOTT
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Credential |
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Telephone | 910-823-6214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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License Number State |
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