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General NPI Number Information
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NPI Number | 1104388289
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Entity Type | Individual
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Provider Name | LAUREN ANGELA LINKER MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 5333 MCAULEY DR RM 2017
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City | YPSILANTI
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State | MI
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Zip | 48197-1096
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Country | US
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Telephone | 800-851-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 5333 MCAULEY DR RM 2017
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City | YPSILANTI
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State | MI
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Zip | 48197-1096
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Country | US
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Telephone | 800-851-6672
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301511077
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License Number State | MI
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