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General NPI Number Information
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NPI Number | 1215305610
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Entity Type | Individual
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Provider Name | RICHARD LIN DDS
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Gender | Male
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 1031 W 34TH ST SUITE 401
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City | LOS ANGELES
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State | CA
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Zip | 90089-3262
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Country | US
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Telephone | 213-740-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 629 TRACTION AVE APT 421
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City | LOS ANGELES
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State | CA
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Zip | 90013-1696
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Country | US
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Telephone | 323-423-6683
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 56472
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License Number State | CA
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