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General NPI Number Information
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NPI Number | 1487921789
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Entity Type | Individual
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Provider Name | LINDA LOUISE CORBETT-MALINAK M.C.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 483 W. SEED FARM ROAD
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City | SACATON
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State | AZ
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Zip | 85247
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Country | US
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Telephone | 602-528-1342
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Fax | 602-528-1487
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Provider Business Mailing Address
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Address Line | 9119 W MARIPOSA GRANDE
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City | PEORIA
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State | AZ
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Zip | 85383-1146
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Country | US
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Telephone | 602-684-1072
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Fax | 623-362-0899
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 0503
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License Number State | AZ
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