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NPI 1891029872

NPI 1891029872 : PAUL T. LINSON CNP : COON RAPIDS, MN

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General NPI Number Information
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    NPI Number           |    1891029872
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL T. LINSON CNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/24/2009
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    Last Update Date     |    06/04/2024
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Provider Practice Location Address
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    Address Line         |    9055 SPRINGBROOK DR NW # MW 
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55433-5841
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    Country              |    US
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    Telephone            |    763-780-9155
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    Fax                  |    763-236-1312
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Provider Business Mailing Address
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    Address Line         |    9055 SPRINGBROOK DR NW # MW 
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55433-5841
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    Country              |    US
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    Telephone            |    763-780-9155
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    Fax                  |    763-236-1312
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    189127-6
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    License Number State |    MN
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