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General NPI Number Information
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NPI Number | 1013643436
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Entity Type | Organization
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Legal Business Name | LIN HEALTH MEDICAL GROUP PA
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3513 BRIGHTON BLVD STE 457
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City | DENVER
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State | CO
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Zip | 80216-3810
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Country | US
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Telephone | 720-740-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 3513 BRIGHTON BLVD STE 457
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City | DENVER
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State | CO
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Zip | 80216-3810
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Country | US
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Telephone | 720-740-2520
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, OPERATIONS
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Name | JESSIE DALTON
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Credential |
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Telephone | 720-740-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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