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General NPI Number Information
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NPI Number | 1447928296
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Entity Type | Individual
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Provider Name | ROSE FAIR LINEHAN DPT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2021
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 11100 HIGHWAY 165 STE 5
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-9781
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Country | US
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Telephone | 501-945-0200
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Fax | 501-945-0245
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Provider Business Mailing Address
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Address Line | 12701 N PENNSYLVANIA AVE APT 202
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-9418
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Country | US
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Telephone | 760-680-8343
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6097
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP044410T
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License Number State | AR
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