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General NPI Number Information
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NPI Number | 1558071845
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Entity Type | Organization
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Legal Business Name | LINHEALTH
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 18-20 LACKAWANNA PLZ STE 300
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3642
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Country | US
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Telephone | 347-209-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 18-20 LACKAWANNA PLZ STE 300
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3642
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Country | US
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Telephone | 347-209-0881
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LINDA V LOGANG
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Credential | PMHNP
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Telephone | 347-209-0881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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