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General NPI Number Information
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NPI Number | 1487872735
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Entity Type | Organization
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Legal Business Name | LINDA L. HINES, PH.D., PC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 2213 LAKESIDE DR
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1265
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Country | US
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Telephone | 847-604-9441
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Fax | 847-604-9445
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Provider Business Mailing Address
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Address Line | 2213 LAKESIDE DR
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1265
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Country | US
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Telephone | 847-604-9441
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Fax | 847-604-9445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA HINES
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Credential | PH.D.
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Telephone | 847-604-9441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 071005286
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071005286
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071004060
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071006544
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149003472
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036060099
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.0066190
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071006069
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License Number State | IL
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