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General NPI Number Information
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NPI Number | 1750397824
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Entity Type | Individual
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Provider Name | JOEL RICHARD LINK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1801 W 40TH AVE STE 1B
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City | PINE BLUFF
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State | AR
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Zip | 71603-6956
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Country | US
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Telephone | 870-541-6055
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Fax | 870-541-6056
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Provider Business Mailing Address
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Address Line | PO BOX 2650
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City | PINE BLUFF
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State | AR
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Zip | 71613-2650
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Country | US
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Telephone | 870-541-7211
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35-094159
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | E-15148
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License Number State | AR
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