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General NPI Number Information
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NPI Number | 1932965241
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Entity Type | Individual
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Provider Name | KIM LINDE LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 5625 YARROW ST
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City | ARVADA
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State | CO
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Zip | 80002-2441
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Country | US
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Telephone | 585-415-1096
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 JEFFERSON RD STE 12 #1256
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City | ROCHESTER
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State | NY
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Zip | 14623
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Country | US
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Telephone | 585-415-1096
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000910
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License Number State | NY
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