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General NPI Number Information
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NPI Number | 1154430296
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Entity Type | Individual
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Provider Name | LIANG-MU LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17906 PIONEER BLVD SUITE 101
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City | ARTESIA
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State | CA
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Zip | 90701-3972
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Country | US
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Telephone | 562-402-3348
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Fax | 562-402-5386
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Provider Business Mailing Address
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Address Line | 17906 PIONEER BLVD SUITE 101
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City | ARTESIA
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State | CA
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Zip | 90701-3972
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Country | US
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Telephone | 562-402-3348
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Fax | 562-402-5386
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A42576
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License Number State | CA
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