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General NPI Number Information
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NPI Number | 1215997044
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Entity Type | Individual
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Provider Name | LINDA KAREN THOMAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2622 N NATIONAL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65803-4302
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Country | US
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Telephone | 417-838-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 1288 SANTA FE RD
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City | ROGERSVILLE
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State | MO
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Zip | 65742-8109
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Country | US
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Telephone | 417-753-2898
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2004033177
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License Number State | MO
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