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General NPI Number Information
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NPI Number | 1689886137
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Entity Type | Organization
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Legal Business Name | LINDA MUNRO PSY D PA
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 655 7TH ST BLDG 700/700-A
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City | ROBINS AFB
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State | GA
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Zip | 31098-2227
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Country | US
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Telephone | 478-222-4834
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Fax | 478-327-8400
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Provider Business Mailing Address
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Address Line | 655 7TH ST BLDG 700/700-A
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City | ROBINS AFB
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State | GA
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Zip | 31098-2227
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Country | US
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Telephone | 478-222-4834
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Fax | 478-327-8400
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Authorized Official
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Title or Position | OWNER
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Name | LINDA NAIL MUNRO
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Credential | PSY D
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Telephone | 478-396-3084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | PY4016
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License Number State | FL
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