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NPI Code Detail

MEDICARE: LINDA D FAKE M.A.

MEDICARE: LINDA D FAKE M.A.
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
1235Z00000XSpeech-Language PathologistSP 5365CA

General Provider Information

NPI Number : 1497915805
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA D FAKE M.A.
Provider Business Mailing Address
First Line : 4009 MALCOLM AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94605-5460
Country : US
Telephone Number : 510-752-7608
Fax Number :
Provider Business Practice Location Address
First Line : 235 W MACARTHUR BLVD
Second Line : SUITE 520
City : OAKLAND
State : CA
Zip : 94611-5641
Country : US
Telephone Number : 510-752-7608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2008
Last Update Date : 01/18/2026

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Directions to “ LINDA D FAKE M.A.” Practice Location

Language Start Address Practice Location
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