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General NPI Number Information
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NPI Number | 1851462907
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Entity Type | Individual
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Provider Name | ROBERT STEWART LININGER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 133 2ND AVE SW
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City | CAMBRIDGE
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State | MN
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Zip | 55008-1552
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Country | US
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Telephone | 763-689-9407
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Fax | 763-552-0164
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Provider Business Mailing Address
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Address Line | 825 ASHLAND ST S
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City | CAMBRIDGE
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State | MN
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Zip | 55008-2110
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Country | US
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Telephone | 763-689-5250
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP0173
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License Number State | MN
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