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General NPI Number Information
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NPI Number | 1619854882
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Entity Type | Individual
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Provider Name | PAIGE GAIL LINSTEAD PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 4682 E ROCKTON RD STE 102
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City | ROSCOE
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State | IL
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Zip | 61073-7475
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Country | US
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Telephone | 815-624-1300
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Fax | 815-624-1301
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Provider Business Mailing Address
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Address Line | 1722 GARFIELD AVE
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City | BELOIT
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State | WI
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Zip | 53511-2850
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Country | US
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Telephone | 847-345-1163
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085011664
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License Number State | IL
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