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General NPI Number Information
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NPI Number | 1851569784
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Entity Type | Organization
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Legal Business Name | LINDER PSYCHIATRIC GROUP, INC.
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 193 BLUE RAVINE RD SUITE 170
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City | FOLSOM
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State | CA
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Zip | 95630-4756
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Country | US
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Telephone | 916-608-0714
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Fax | 916-608-0717
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Provider Business Mailing Address
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Address Line | 193 BLUE RAVINE RD SUITE 170
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City | FOLSOM
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State | CA
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Zip | 95630-4756
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Country | US
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Telephone | 916-608-0714
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Fax | 916-608-0717
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Authorized Official
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Title or Position | VP
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Name | MRS. RENAE LINDER
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Credential | L.C.S.W.
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Telephone | 916-608-0714
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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 | LCS 18464
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 32032
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 31130
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 44824
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A53024
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A69812
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A69812
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A53024
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License Number State | CA
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