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General NPI Number Information
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NPI Number | 1366761884
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Entity Type | Organization
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Legal Business Name | LINDA R RUNION PH D P C
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 05/28/2011
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Provider Practice Location Address
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Address Line | 1401 MALVERN AVE SUITE 230
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6327
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Country | US
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Telephone | 501-321-9879
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Fax |
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Provider Business Mailing Address
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Address Line | 107 WHISPERING HILLS ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7320
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Country | US
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Telephone | 501-321-9879
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA RUNION JOSEF
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Credential | PH D
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Telephone | 501-321-9879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 96-06P
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License Number State | AR
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