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General NPI Number Information
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NPI Number | 1164092110
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Entity Type | Individual
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Provider Name | ZI YANG LIN
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Gender | Male
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 1237 HARDING PL STE 4200
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City | CHARLOTTE
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State | NC
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Zip | 28204
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Country | US
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Telephone | 704-373-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 203 KENTIGERN DR
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City | RALEIGH
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State | NC
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Zip | 27606-5639
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Country | US
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Telephone | 919-561-8788
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2021033376
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License Number State | NC
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