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General NPI Number Information
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NPI Number | 1891518601
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Entity Type | Individual
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Provider Name | LISA MARIE LINKE RBT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 400 E PRATT ST
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City | BALTIMORE
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State | MD
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Zip | 21202-3116
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Country | US
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Telephone | 866-788-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 339 BEECH LN
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City | MIDDLETOWN
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State | DE
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Zip | 19709-9521
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Country | US
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Telephone | 858-260-8458
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1192380
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License Number State | DE
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