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General NPI Number Information
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NPI Number | 1194147645
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Entity Type | Individual
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Provider Name | SANDAR LINN MD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 2545 W HAMMER LN
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City | STOCKTON
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State | CA
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Zip | 95209-2839
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Country | US
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Telephone | 209-955-3066
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Fax | 209-951-2482
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone | 800-470-0071
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A153102
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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