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General NPI Number Information
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NPI Number | 1245105634
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Entity Type | Organization
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Legal Business Name | DIANA GRACE LIN, DMD, MPH, PLLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2810 WAKEFIELD PINES DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27614-7078
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Country | US
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Telephone | 919-488-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 WAKEFIELD PINES DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27614-7078
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Country | US
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Telephone | 919-488-2194
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIANA GRACE LIN
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Credential | DMD, MPH
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Telephone | 657-262-5042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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