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General NPI Number Information
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NPI Number | 1306739776
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Entity Type | Individual
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Provider Name | MICHAEL LIN
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Gender | Male
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 710 LAWRENCE EXPY DEPT 1741
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City | SANTA CLARA
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State | CA
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Zip | 95051-5173
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Country | US
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Telephone | 408-851-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 660 HARVARD AVE APT 26
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City | SANTA CLARA
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State | CA
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Zip | 95051-6069
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 308139
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License Number State | CA
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