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NPI Code Detail

MEDICARE: LINDA I PORTER BA

MEDICARE: LINDA I PORTER BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1144506957
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA I PORTER BA
Provider Business Mailing Address
First Line : 17 FOX HILL RD
Second Line :
City : BERNARDSTON
State : MA
Zip : 01337-9593
Country : US
Telephone Number : 413-774-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1 ARCH PL
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-2457
Country : US
Telephone Number : 413-774-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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