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General NPI Number Information
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NPI Number | 1346209087
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Entity Type | Individual
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Provider Name | LINDA SUE BLINKMANN MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 829 CHIEF EDDIE HOFFMAN HIGHWAY SUITE 150
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City | BETHEL
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State | AK
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Zip | 99559-0528
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Country | US
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Telephone | 907-543-6100
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Fax | 907-543-6159
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Provider Business Mailing Address
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Address Line | PO BOX 528 ATTN: BH EMERGENCY SERVICES
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City | BETHEL
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State | AK
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Zip | 99559-0528
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Country | US
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Telephone | 907-543-6100
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Fax | 907-543-6159
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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 | 05700
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License Number State | IA
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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 | 1353
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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