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General NPI Number Information
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NPI Number | 1366633414
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Entity Type | Organization
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Legal Business Name | LINDA A THOMPSON, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 10780 SANTA MONICA BLVD #450
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City | LOS ANGELES
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State | CA
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Zip | 90025-4749
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Country | US
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Telephone | 310-828-5756
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Fax | 310-899-1518
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Provider Business Mailing Address
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Address Line | 10780 SANTA MONICA BLVD #450
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City | LOS ANGELES
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State | CA
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Zip | 90025-4749
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Country | US
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Telephone | 310-828-5756
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Fax | 310-899-1518
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA ANN THOMPSON
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Credential | PH.D
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Telephone | 310-828-5756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY3720
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License Number State | CA
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