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General NPI Number Information
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NPI Number | 1245643618
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Entity Type | Individual
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Provider Name | JEAN LIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # A50
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City | CLEVELAND
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State | OH
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Zip | 44195-2909
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Country | US
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Telephone | 216-444-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # A50
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036146473
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 56914
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 35.149275
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License Number State | OH
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