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General NPI Number Information
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NPI Number | 1346306164
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Entity Type | Organization
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Legal Business Name | LIN RADIOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 506 W VALLEY BLVD # 300
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3731
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Country | US
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Telephone | 626-593-9393
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Fax | 626-593-9392
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Provider Business Mailing Address
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Address Line | 506 W VALLEY BLVD SUITE #300
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3731
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Country | US
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Telephone | 626-593-9393
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Fax | 626-593-9392
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES LIN JR.
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Credential | MD
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Telephone | 310-600-3430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A78149
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License Number State | CA
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