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General NPI Number Information
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NPI Number | 1376064105
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Entity Type | Individual
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Provider Name | JAMES C LIN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2017
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 14613 RAMONA AVE
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City | CHINO
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State | CA
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Zip | 91710-5648
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Country | US
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Telephone | 909-902-1708
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CALLE COLORADO
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City | SAN DIMAS
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State | CA
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Zip | 91773-3994
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Country | US
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Telephone | 339-368-2395
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DDS110725
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1857627
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License Number State | MA
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