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General NPI Number Information
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NPI Number | 1205319068
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Entity Type | Individual
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Provider Name | LINDA LINARES LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 10601 CIVIC CENTER DR STE 120B
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3878
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Country | US
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Telephone | 909-247-4990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3005
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City | FONTANA
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State | CA
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Zip | 92334-3005
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Country | US
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Telephone | 909-247-4990
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT113251
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License Number State | CA
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