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NPI Code Detail

MEDICARE: MS. LINDA CHRISTINE FARRELL MED. NCC

MEDICARE: MS. LINDA CHRISTINE FARRELL MED. NCC
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
1101Y00000XCounselor203557NJ

General Provider Information

NPI Number : 1619188679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA CHRISTINE FARRELL MED. NCC
Provider Business Mailing Address
First Line : 17 PAUL PL
Second Line :
City : HASKELL
State : NJ
Zip : 07420-1049
Country : US
Telephone Number : 973-632-4739
Fax Number :
Provider Business Practice Location Address
First Line : 16 POMPTON AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1895
Country : US
Telephone Number : 973-835-6337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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