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General NPI Number Information
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NPI Number | 1205647831
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Entity Type | Individual
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Provider Name | MINCHAN LIN NP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3808 UNION ST STE 6B
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City | FLUSHING
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State | NY
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Zip | 11354-5672
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Country | US
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Telephone | 908-808-6688
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Fax | 718-980-7788
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Provider Business Mailing Address
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Address Line | 6117 211TH ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2118
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Country | US
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Telephone | 646-508-8050
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 587687
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License Number State | NY
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