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General NPI Number Information
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NPI Number | 1083347314
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Entity Type | Individual
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Provider Name | YAO LIN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 600 CHESTNUT STREET EXT STE B
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City | BRADFORD
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State | PA
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Zip | 16701-5438
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Country | US
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Telephone | 858-766-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 725 BENT HICKORY CT
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City | SUWANEE
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State | GA
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Zip | 30024-8907
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Country | US
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Telephone | 858-766-8326
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS043773
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License Number State | PA
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