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NPI Code Detail

MEDICARE: LINDA KING

MEDICARE: LINDA KING
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1205277035
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA KING
Provider Business Mailing Address
First Line : 797 7TH ST E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-5014
Country : US
Telephone Number : 612-746-3500
Fax Number : 612-871-1058
Provider Business Practice Location Address
First Line : 797 7TH ST E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-5014
Country : US
Telephone Number : 612-746-3500
Fax Number : 612-871-1058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 07/09/2013

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Directions to “ LINDA KING ” Practice Location

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