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General NPI Number Information
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NPI Number | 1225976285
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Entity Type | Individual
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Provider Name | BRYAN LINARES
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Gender | Male
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 17 SEBER RD BUILDING 5
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840
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Country | US
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Telephone | 908-452-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 38 8TH AVE FL 2
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City | PASSAIC
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State | NJ
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Zip | 07055-2121
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Country | US
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Telephone | 862-334-3677
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP01008800
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License Number State | NJ
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