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General NPI Number Information
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NPI Number | 1396096178
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Entity Type | Organization
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Legal Business Name | WEI GUO LIN PHYSICIAN PC
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 139 CENTRE STREET SUITE 501
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City | NEW YORK
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State | NY
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Zip | 10013-4555
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Country | US
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Telephone | 212-274-9870
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Fax | 212-274-9499
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Provider Business Mailing Address
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Address Line | 139 CENTRE STREET SUITE 501
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City | NEW YORK
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State | NY
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Zip | 10013-4555
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Country | US
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Telephone | 212-274-9870
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Fax | 212-274-9499
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WEI GUO LIN
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Credential | M,D.
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Telephone | 212-274-9870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 207675
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License Number State | NY
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