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General NPI Number Information
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NPI Number | 1366847204
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Entity Type | Individual
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Provider Name | LINDA SANTANA LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 634 BEECHWOOD RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1330
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Country | US
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Telephone | 917-952-5065
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Fax |
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Provider Business Mailing Address
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Address Line | 634 BEECHWOOD RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1330
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Country | US
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Telephone | 917-952-5065
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC008377
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 006306
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License Number State | NY
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