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General NPI Number Information
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NPI Number | 1851999817
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Entity Type | Individual
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Provider Name | JOHN MANUEL LINARES NP
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Gender | Male
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 13630 BEAMER RD STE 109
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City | HOUSTON
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State | TX
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Zip | 77089-6038
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Country | US
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Telephone | 713-382-0008
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Fax | 541-240-2160
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Provider Business Mailing Address
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Address Line | 11400 SPACE CENTER BLVD APT 8105
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City | HOUSTON
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State | TX
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Zip | 77059-3637
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Country | US
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Telephone | 713-382-0008
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Fax | 541-240-2160
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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 | 146L00000X
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Taxonomy Name | Paramedic
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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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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1016216
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License Number State | TX
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