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General NPI Number Information
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NPI Number | 1457667362
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Entity Type | Organization
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Legal Business Name | LINDEN PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 478 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11209-2720
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Country | US
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Telephone | 516-448-1393
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Fax | 718-836-4213
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Provider Business Mailing Address
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Address Line | 130 72ND ST
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City | BROOKLYN
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State | NY
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Zip | 11209-2062
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Country | US
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Telephone | 516-448-1393
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Fax | 718-836-4213
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BONNEE PRICE LINDEN
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Credential | PHD
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Telephone | 516-448-1393
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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 | 018000
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License Number State | NY
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