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General NPI Number Information
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NPI Number | 1487891719
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Entity Type | Organization
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Legal Business Name | LINKS FOR LIFE, LLC
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 17 S 20TH ST
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City | RICHMOND
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State | IN
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Zip | 47374-5721
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Country | US
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Telephone | 765-602-3723
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Fax | 888-781-5085
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Provider Business Mailing Address
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Address Line | 7609 S SUN MOR DR
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City | MUNCIE
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State | IN
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Zip | 47302-9433
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Country | US
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Telephone | 765-602-3723
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Fax | 888-781-5085
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Authorized Official
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Title or Position | OWNER
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Name | NANCY SMITH-CALL
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Credential | LCSW
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Telephone | 765-602-3723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34005680A
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License Number State | IN
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