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General NPI Number Information
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NPI Number | 1003133885
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Entity Type | Organization
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Legal Business Name | LINCOLN MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 1530 3RD ST SUITE 106
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City | LINCOLN
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State | CA
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Zip | 95648-1562
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Country | US
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Telephone | 916-645-3388
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 3RD ST SUITE 106
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City | LINCOLN
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State | CA
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Zip | 95648-1562
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Country | US
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Telephone | 916-645-3388
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/TREASURER
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Name | DR. ALLEN LIN
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Credential | D.O.
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Telephone | 916-226-2611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A8777
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License Number State | CA
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