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General NPI Number Information
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NPI Number | 1871003137
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Entity Type | Individual
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Provider Name | GEOFFREY RICHARD LINN DPM
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Gender | Male
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Dates
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Enumeration Date | 10/01/2017
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 10049 KITSAP MALL BLVD NW STE 109
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City | SILVERDALE
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State | WA
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Zip | 98383-8901
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Country | US
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Telephone | 360-698-2505
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Fax | 360-698-2514
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Provider Business Mailing Address
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Address Line | 13501 152ND STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98374-9244
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Country | US
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Telephone | 360-619-2236
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PL60864268
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License Number State | WA
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