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General NPI Number Information
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NPI Number | 1114283017
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Entity Type | Organization
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Legal Business Name | LINDA MOSBY, MA, LPCMH, LLC
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 3522 SILVERSIDE RD STE 32
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City | WILMINGTON
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State | DE
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Zip | 19810-4911
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Country | US
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Telephone | 484-883-6054
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Fax |
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Provider Business Mailing Address
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Address Line | 3522 SILVERSIDE RD., SUITE 32
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City | WILMINGTON
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State | DE
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Zip | 19810
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Country | US
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Telephone | 484-883-6054
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LINDA M MOSBY
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Credential | MA
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Telephone | 484-883-6054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0000533
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License Number State | DE
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