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NPI 1326113770

NPI 1326113770 : LIN'S PROSPERITY ENTERPRISE, INC. : LANGHORNE, PA

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General NPI Number Information
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    NPI Number           |    1326113770
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIN'S PROSPERITY ENTERPRISE, INC. 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    154 N FLOWERS MILL RD 
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    City                 |    LANGHORNE
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    State                |    PA
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    Zip                  |    19047-1652
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    Country              |    US
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    Telephone            |    215-702-3338
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    Fax                  |    215-702-3381
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Provider Business Mailing Address
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    Address Line         |    154 N FLOWERS MILL RD 
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    City                 |    LANGHORNE
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    State                |    PA
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    Zip                  |    19047-1652
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    Country              |    US
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    Telephone            |    215-702-3338
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    Fax                  |    215-702-3381
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KEN C LIN 
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    Credential           |    
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    Telephone            |    215-702-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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