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General NPI Number Information
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NPI Number | 1487071247
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Entity Type | Organization
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Legal Business Name | LINDA S. CAMPBELL, LLC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 1258 PURDYTOWN TPKE STE 101
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City | LAKEVILLE
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State | PA
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Zip | 18438-6793
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Country | US
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Telephone | 570-470-6190
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Fax | 570-226-1967
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Provider Business Mailing Address
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Address Line | 1258 PURDYTOWN TPKE STE 101
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City | LAKEVILLE
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State | PA
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Zip | 18438-6793
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Country | US
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Telephone | 570-470-6190
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Fax | 570-226-1967
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Authorized Official
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Title or Position | NCC, LPC
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Name | MRS. LINDA S CAMPBELL
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Credential | NCC, LPC
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Telephone | 570-470-6190
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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 | PC001562
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License Number State | PA
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