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General NPI Number Information
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NPI Number | 1801295134
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Entity Type | Individual
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Provider Name | ZACHARY A LINROSE
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Gender | Male
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 5000 W CHAMBERS ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-1650
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Country | US
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Telephone | 414-447-2000
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Fax | 414-858-2230
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Provider Business Mailing Address
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Address Line | 2968 S MABBETT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-2525
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Country | US
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Telephone | 608-658-8276
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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 | 085005161
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4350
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1117940
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License Number State | IA
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