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General NPI Number Information
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NPI Number | 1922332717
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Entity Type | Organization
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Legal Business Name | LINK INSTITUTE FOR WOMEN'S HEALTH
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 230 SOUTH MAIN STREET SUITE 100
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City | ORANGE
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State | CA
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Zip | 92868-3851
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Country | US
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Telephone | 714-541-0101
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Fax | 714-541-0450
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Provider Business Mailing Address
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Address Line | 541 W COLORADO ST STE 207
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City | GLENDALE
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State | CA
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Zip | 91204-3631
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Country | US
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Telephone | 323-254-0046
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Fax | 323-488-9782
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Authorized Official
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Title or Position | DIRECTOR
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Name | MAX THORSBAKKEN
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Credential |
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Telephone | 323-942-7257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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