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General NPI Number Information
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NPI Number | 1942843735
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Entity Type | Individual
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Provider Name | JEFFERY DANIEL LINSCHEID DPM
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Gender | Male
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 2415 SE 165TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98683-4323
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Country | US
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Telephone | 360-450-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 9931 PLEASANT LAKE BLVD APT R10
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City | PARMA
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State | OH
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Zip | 44130-7445
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Country | US
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Telephone | 503-349-6074
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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 | PO61451750
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License Number State | WA
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