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General NPI Number Information
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NPI Number | 1649340944
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Entity Type | Individual
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Provider Name | LINDA SUE PASSEY LCSW(LICENSED CLINIC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 81 GREGORY LANE SUITE 220 LINDA PASSEY, LCSW
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City | PLEASANT HILL
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State | CA
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Zip | 94523
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Country | US
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Telephone | 925-274-3678
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Fax | 925-686-2476
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Provider Business Mailing Address
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Address Line | 81 GREGORY LANE SUITE 220 LINDA PASSEY, LCSW
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City | PLEASANT HILL
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State | CA
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Zip | 94523
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Country | US
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Telephone | 925-274-3678
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Fax | 925-686-2476
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15973
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 136241-3501
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License Number State | UT
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