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General NPI Number Information
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NPI Number | 1285694356
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Entity Type | Individual
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Provider Name | LINDA A KENNEDY-HASSEL L.C.S.W.
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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 | 08/16/2021
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Provider Practice Location Address
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Address Line | 4 PARK PLAZA
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City | WYOMISSING
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State | PA
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Zip | 19610-4014
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Country | US
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Telephone | 610-743-0544
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Fax | 866-202-9017
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Provider Business Mailing Address
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Address Line | 231 SPRINGMONT DR
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City | WYOMISSING
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State | PA
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Zip | 19610-4014
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Country | US
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Telephone | 610-698-0990
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Fax | 866-202-9017
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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 | CW0-15033
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License Number State | PA
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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 | CW015033
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License Number State | PA
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