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General NPI Number Information
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NPI Number | 1497080311
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Entity Type | Organization
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Legal Business Name | LINDA SCHONBERG, PSYCHOLOGIST
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 27620 FARMINGTON RD SUITE206
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3349
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Country | US
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Telephone | 248-613-3216
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Fax |
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Provider Business Mailing Address
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Address Line | 27620 FARMINGTON ROAD SUITE206
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334
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Country | US
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Telephone | 248-613-3216
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LINDA ELAINE SCHONBERG
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Credential | PSY.D.,LP
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Telephone | 248-613-3216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 6301012746
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License Number State | MI
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