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General NPI Number Information
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NPI Number | 1750809703
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Entity Type | Individual
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Provider Name | DIANA MERCY LINARES
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 3590 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2655
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Country | US
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Telephone | 562-661-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 5650 JILLSON ST
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City | COMMERCE
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State | CA
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Zip | 90040-1482
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Country | US
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Telephone | 323-201-4516
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Fax | 323-315-0170
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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 | 104100000X
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Taxonomy Name | 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 83644
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License Number State | CA
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