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General NPI Number Information
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NPI Number | 1154422756
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Entity Type | Individual
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Provider Name | PAUL LINGENBRINK DDS MDS
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3250 N CAMPBELL AVE STE 116
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City | TUCSON
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State | AZ
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Zip | 85719-2381
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Country | US
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Telephone | 520-881-8995
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Fax |
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Provider Business Mailing Address
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Address Line | 3078 E WATERMAN WAY
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City | GILBERT
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State | AZ
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Zip | 85297-7621
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Country | US
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Telephone | 360-509-0146
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6183748-9926
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D009791
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE00006868
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License Number State | WA
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