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General NPI Number Information
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NPI Number | 1235593104
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Entity Type | Individual
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Provider Name | WILLIAM I LIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 221 3RD ST W BLDG 1040
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City | JBSA RANDOLPH
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State | TX
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Zip | 78150-4800
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Country | US
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Telephone | 830-298-6538
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Fax |
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Provider Business Mailing Address
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Address Line | 221 3RD ST W BLDG 1040
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City | JBSA RANDOLPH
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State | TX
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Zip | 78150-4800
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Country | US
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Telephone | 830-298-6538
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 300849
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A158034
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License Number State | CA
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