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General NPI Number Information
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NPI Number | 1235244138
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Entity Type | Individual
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Provider Name | LINDA A MADDEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12607 SE MILL PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98684-6055
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Country | US
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Telephone | 360-418-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 3243 39TH CT
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City | WASHOUGAL
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State | WA
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Zip | 98671-8922
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Country | US
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Telephone | 360-335-0694
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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 | 2148
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License Number State | OR
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