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General NPI Number Information
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NPI Number | 1265579924
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Entity Type | Individual
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Provider Name | ROBERT T. LIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 555 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3028
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Country | US
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Telephone | 540-347-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 52 WEST SHIRLEY AVENUE
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-347-9220
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Fax | 540-347-0492
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101231607
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License Number State | VA
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