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General NPI Number Information
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NPI Number | 1912281254
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Entity Type | Individual
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Provider Name | LINDA LEE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 13220 NW 33RD AVE
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City | VANCOUVER
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State | WA
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Zip | 98685-2288
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Country | US
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Telephone | 360-334-6301
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Fax | 360-334-6307
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Provider Business Mailing Address
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Address Line | PO BOX 65523
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City | VANCOUVER
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State | WA
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Zip | 98665-0018
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Country | US
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Telephone | 360-334-6301
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Fax | 360-334-6307
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4165
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9619
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60234783
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License Number State | WA
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