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Individual
MARK ANTHONY LINANE
Active
Individual
MARK ANTHONY LINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1059822
TX
2251X0800X
Orthopedic Physical Therapist
1059822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4363236
AETNA HEALTHCARE
TX
01
—
854T82
BC/BS TX - EFFECT. 02/01/2011
TX
01
—
85589T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/09/2006
Last updated
04/01/2019
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