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General NPI Number Information
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NPI Number | 1518213594
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Entity Type | Organization
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Legal Business Name | LORIN LINDNER, PHD
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 3608 MT PINOS WAY
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City | FRAZIER PARK
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State | CA
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Zip | 93225
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Country | US
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Telephone | 661-245-3111
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Fax | 661-461-3115
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | FRAZIER PARK
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State | CA
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Zip | 93225-1510
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Country | US
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Telephone | 661-245-3111
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LORIN LINDNER
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Credential | PHD
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Telephone | 661-245-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 10659
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY 10659
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License Number State | CA
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