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General NPI Number Information
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NPI Number | 1497040414
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Entity Type | Individual
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Provider Name | ZACHARY MARK LINN DPT
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Gender | Male
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Dates
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Enumeration Date | 06/17/2011
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 705 PLEASANT AVE S
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City | PARK RAPIDS
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State | MN
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Zip | 56470
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Country | US
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Telephone | 218-732-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6001
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City | FARGO
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State | ND
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Zip | 58108-6001
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Country | US
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Telephone |
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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 | 9589
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License Number State | MN
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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 | 438
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License Number State | AK
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