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General NPI Number Information
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NPI Number | 1528581279
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Entity Type | Organization
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Legal Business Name | LINKE RESOURCES
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 106 BROOKHOLLOW DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-4709
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Country | US
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Telephone | 610-873-4813
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Fax | 610-873-1243
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Provider Business Mailing Address
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Address Line | 106 BROOKHOLLOW DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-4709
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Country | US
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Telephone | 610-873-4813
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Fax | 610-873-1243
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. GEORGE PAUL LINKE JR.
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Credential | PSY.D.
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Telephone | 610-873-4813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BH002953
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License Number State | PA
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