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General NPI Number Information
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NPI Number | 1194988089
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Entity Type | Organization
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Legal Business Name | K. JACOB COHEN-KASHI MD & LAWRENCE C. LIN MD PLLC
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 833 NORTHERN BLVD SUITE 110
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City | GREAT NECK
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State | NY
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Zip | 11021-5315
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Country | US
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Telephone | 516-472-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 833 NORTHERN BLVD SUITE 110
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City | GREAT NECK
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State | NY
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Zip | 11021-5315
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Country | US
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Telephone | 516-472-2110
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. LAWRENCE C LIN
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Credential | M.D.
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Telephone | 516-472-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 248595
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License Number State | NY
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