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General NPI Number Information
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NPI Number | 1245389881
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Entity Type | Individual
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Provider Name | TED S LIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 2190 LYNN RD 240
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 805-496-9976
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Fax | 805-496-9970
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Provider Business Mailing Address
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Address Line | 2190 LYNN RD SUITE 240
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 805-496-9976
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Fax | 805-496-9970
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A32918
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License Number State | CA
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