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General NPI Number Information
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NPI Number | 1457557860
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Entity Type | Individual
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Provider Name | LINDA SYLVESTER LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10101 E CANFIELD ST
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City | DETROIT
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State | MI
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Zip | 48214-1501
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Country | US
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Telephone | 313-852-9677
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Fax | 313-852-9676
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Provider Business Mailing Address
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Address Line | 5100 HEREFORD ST
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City | DETROIT
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State | MI
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Zip | 48224-2124
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Country | US
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Telephone | 313-516-6279
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 6801066655
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License Number State | MI
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