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General NPI Number Information
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NPI Number | 1659467538
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Entity Type | Organization
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Legal Business Name | LINDA I GARRITY
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 110 E MAIN ST SUITE 702
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City | MADISON
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State | WI
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Zip | 53703-3395
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Country | US
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Telephone | 608-255-0100
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Fax | 608-251-2400
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Provider Business Mailing Address
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Address Line | 110 E MAIN ST SUITE 702
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City | MADISON
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State | WI
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Zip | 53703-3395
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Country | US
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Telephone | 608-255-0100
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Fax | 608-251-2404
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Authorized Official
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Title or Position | COORDINATOR
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Name | DR. LINDA I GARRITY
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Credential | PHD
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Telephone | 608-255-0100
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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