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General NPI Number Information
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NPI Number | 1164805453
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Entity Type | Individual
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Provider Name | MS. LINDA JOY NORDQUIST
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Gender | Female
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Dates
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Enumeration Date | 07/04/2015
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 7114 MEADE ST
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City | PITTSBURGH
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State | PA
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Zip | 15208-2453
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Country | US
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Telephone | 605-877-4354
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Fax | 605-443-8880
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Provider Business Mailing Address
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Address Line | 811 COLUMBUS ST
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City | RAPID CITY
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State | SD
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Zip | 57701
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Country | US
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Telephone | 605-342-8028
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Fax | 605-388-8861
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4763
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License Number State | SD
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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 | CW018751
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License Number State | PA
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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 | C002522
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License Number State | NC
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