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General NPI Number Information
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NPI Number | 1396766960
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Entity Type | Individual
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Provider Name | HWURANG HERBERT LIN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 789 S SAN GABRIEL BLVD STE G
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City | SAN GABRIEL
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State | CA
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Zip | 91776-2756
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Country | US
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Telephone | 626-309-1313
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Fax | 626-309-1718
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Provider Business Mailing Address
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Address Line | 789 S SAN GABRIEL BLVD STE G
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City | SAN GABRIEL
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State | CA
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Zip | 91776-2756
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Country | US
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Telephone | 626-309-1313
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Fax | 626-309-1718
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 34870
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License Number State | CA
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