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General NPI Number Information
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NPI Number | 1962892091
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Entity Type | Organization
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Legal Business Name | LINHART, DDS, PC
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 18 S BEECH ST
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City | CORTEZ
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State | CO
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Zip | 81321-3744
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Country | US
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Telephone | 970-565-4702
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Fax |
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Provider Business Mailing Address
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Address Line | HC 61 BOX 3024
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City | TEEC NOS POS
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State | AZ
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Zip | 86514-9604
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Country | US
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Telephone | 928-266-8388
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAULINE LINHART
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Credential |
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Telephone | 928-266-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DEN.00202424
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License Number State | CO
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