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General NPI Number Information
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NPI Number | 1144534827
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Entity Type | Individual
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Provider Name | JENNIFER LIN O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 115 E 3RD AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-4012
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Country | US
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Telephone | 650-347-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E 3RD AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-4012
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13969
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License Number State | CA
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