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General NPI Number Information
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NPI Number | 1225765829
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Entity Type | Organization
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Legal Business Name | JOHN LIN, MD, PC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 39350 CIVIC CENTER DR
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City | FREMONT
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State | CA
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Zip | 94538-2343
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Country | US
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Telephone | 510-299-3791
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Fax |
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Provider Business Mailing Address
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Address Line | 41041 TRIMBOLI WAY UNIT 1302
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City | FREMONT
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State | CA
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Zip | 94538-8025
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Country | US
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Telephone | 510-299-3791
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN LIN
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Credential | MD
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Telephone | 510-299-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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