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General NPI Number Information
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NPI Number | 1578530432
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Entity Type | Individual
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Provider Name | LINDA LOUISE PAQUETTE MS, LISAC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 1948 MESQUITE AVE 103
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-5777
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Country | US
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Telephone | 928-846-7184
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Fax | 928-854-6277
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Provider Business Mailing Address
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Address Line | PO BOX 1811
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86405-1811
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Country | US
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Telephone | 928-846-7184
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LISAC1380
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License Number State | AZ
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