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General NPI Number Information
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NPI Number | 1275941064
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Entity Type | Organization
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Legal Business Name | BRIAN K LINN, MD
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 224 W ERIE AVE
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City | HARRISON
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State | AR
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Zip | 72601-3539
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Country | US
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Telephone | 870-741-8289
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2779
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City | HARRISON
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State | AR
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Zip | 72602-2779
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Country | US
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Telephone | 870-741-8289
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. BRIAN KEITH LINN
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Credential | MD
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Telephone | 870-741-8289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-5068
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License Number State | AR
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