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General NPI Number Information
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NPI Number | 1275304479
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Entity Type | Organization
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Legal Business Name | LIN VEIN CLINIC, PLLC
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 5401 PEACH ST STE 3400
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City | ERIE
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State | PA
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Zip | 16509-2601
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Country | US
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Telephone | 814-868-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 PEACH ST
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City | ERIE
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State | PA
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Zip | 16509-2603
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Country | US
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Telephone | 814-844-2858
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES Y LIN
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Credential | DO
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Telephone | 814-602-7783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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