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General NPI Number Information
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NPI Number | 1073788709
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Entity Type | Organization
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Legal Business Name | MELANIE LIN MD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 9930 TALBERT AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 714-378-6307
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Fax |
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Provider Business Mailing Address
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Address Line | 9930 TALBERT AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 714-378-6307
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELANIE LIN
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Credential | MD
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Telephone | 714-378-6307
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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 | A100349
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License Number State | CA
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