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General NPI Number Information
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NPI Number | 1619790961
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Entity Type | Organization
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Legal Business Name | SHANNON M LINTON MD INC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 768 MOUNTAIN RANCH RD
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City | SAN ANDREAS
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State | CA
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Zip | 95249-9707
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Country | US
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Telephone | 209-754-3521
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Fax | 209-754-2675
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Provider Business Mailing Address
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Address Line | PO BOX 34120
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City | RENO
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State | NV
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Zip | 89533-4120
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Country | US
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Telephone | 877-747-5050
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Fax | 775-747-5050
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON M LINTON
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Credential | MD
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Telephone | 209-754-2523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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