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General NPI Number Information
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NPI Number | 1275203986
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Entity Type | Individual
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Provider Name | I CHIEH LIN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 740 W PEACHTREE ST NW
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City | ATLANTA
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State | GA
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Zip | 30308-1199
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Country | US
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Telephone | 866-787-6341
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Fax |
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Provider Business Mailing Address
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Address Line | 5175 JERRY TARKANIAN WAY UNIT 15204
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City | LAS VEGAS
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State | NV
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Zip | 89148-0009
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Country | US
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Telephone | 540-498-1097
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29481
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202216145
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20132
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License Number State | NV
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