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Individual
LINN HAZE CARLETON
Active
Individual
LINN HAZE CARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS-003570-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058090000
BLUE SHIELD
PA
05
—
0124383600
—
PA
01
—
442012340
UNITED HEALTHCARE
PA
Enumeration date
06/15/2006
Last updated
07/08/2007
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