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General NPI Number Information
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NPI Number | 1285821173
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Entity Type | Organization
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Legal Business Name | YI LIN MEDICAL CENTER
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 4775 INDIAN SCHOOL RD NE SUITE 100
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3973
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Country | US
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Telephone | 505-888-6700
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Fax | 505-888-6701
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Provider Business Mailing Address
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Address Line | 4775 INDIAN SCHOOL RD NE SUITE 100
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3973
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Country | US
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Telephone | 505-888-6700
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Fax | 505-888-6701
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PING CHEN
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Credential | DOM, MD
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Telephone | 505-888-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 655
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License Number State | NM
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