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General NPI Number Information
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NPI Number | 1174562698
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Entity Type | Individual
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Provider Name | JANET Y LIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 1740 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 312-996-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 809 S MARSHFIELD AVE 9TH FLOOR M/C 732
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City | CHICAGO
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State | IL
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Zip | 60612-4305
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Country | US
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Telephone | 312-996-1000
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Fax | 312-996-1001
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-106272
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License Number State | IL
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