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General NPI Number Information
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NPI Number | 1497287429
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Entity Type | Individual
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Provider Name | SAMUEL LINTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 615-519-7327
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Fax |
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Provider Business Mailing Address
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Address Line | 3915 W PALMER ST
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City | CHICAGO
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State | IL
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Zip | 60647-2215
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Country | US
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Telephone | 615-519-7327
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.152320
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License Number State | IL
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