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General NPI Number Information
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NPI Number | 1225527302
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Entity Type | Individual
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Provider Name | LINDA JULE WEINBERG LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 1027 W 12TH ST
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City | TEMPE
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State | AZ
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Zip | 85281-5363
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Country | US
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Telephone | 480-303-6662
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1643
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City | TEMPE
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State | AZ
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Zip | 85280-1643
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Country | US
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Telephone | 480-930-0888
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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 | LCSW-1327
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License Number State | AZ
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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 | LCSW
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License Number State | AZ
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