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General NPI Number Information
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NPI Number | 1053314476
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Entity Type | Organization
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Legal Business Name | LI-YEN LIN DDS PA
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 17320 W GRAND PKWY S STE B
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City | SUGAR LAND
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State | TX
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Zip | 77479-2667
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Country | US
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Telephone | 832-595-2505
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Fax | 832-595-2290
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Provider Business Mailing Address
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Address Line | 17320 W GRAND PKWY S STE B
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City | SUGAR LAND
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State | TX
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Zip | 77479-2667
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Country | US
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Telephone | 832-595-2505
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Fax | 832-595-2290
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIYEN LIN KEEN
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Credential | DDS
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Telephone | 832-595-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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