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General NPI Number Information
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NPI Number | 1689150120
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Entity Type | Organization
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Legal Business Name | MEDLINQ
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 2183 FAIRVIEW RD STE 100
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City | COSTA MESA
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State | CA
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Zip | 92627-5671
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Country | US
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Telephone | 888-447-8248
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Fax |
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Provider Business Mailing Address
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Address Line | 8465 210TH ST W
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City | LAKEVILLE
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State | MN
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Zip | 55044-8502
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Country | US
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Telephone | 651-269-2091
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Fax | 888-447-8248
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MARIAM MOLANI
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Credential | DO
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Telephone | 866-522-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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