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General NPI Number Information
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NPI Number | 1174866040
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Entity Type | Individual
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Provider Name | BEN LIN DA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 45 PARK LN S APT 807
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City | JERSEY CITY
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State | NJ
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Zip | 07310-3107
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Country | US
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Telephone | 908-642-4301
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Fax | 760-227-5203
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Provider Business Mailing Address
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Address Line | 45 PARK LN S APT 807
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City | JERSEY CITY
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State | NJ
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Zip | 07310-3107
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Country | US
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Telephone | 908-866-6418
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Fax | 760-227-5203
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 133137
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 133137
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License Number State | CA
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