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General NPI Number Information
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NPI Number | 1649586587
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Entity Type | Organization
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Legal Business Name | LINDA HARDIN LCSW, INC.
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 29645 RANCHO CALIFORNIA RD 238
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City | TEMECULA
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State | CA
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Zip | 92591-6200
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Country | US
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Telephone | 951-676-3455
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Fax | 951-693-1010
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Provider Business Mailing Address
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Address Line | 29645 RANCHO CALIFORNIA RD 238
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City | TEMECULA
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State | CA
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Zip | 92591-6200
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Country | US
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Telephone | 951-676-3455
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Fax | 951-693-1010
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Authorized Official
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Title or Position | CEO
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Name | MRS. LINDA MARIE HARDIN
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Credential | M.S.W.
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Telephone | 951-676-3455
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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 | LCS10802
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License Number State | CA
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