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General NPI Number Information
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NPI Number | 1407243157
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Entity Type | Organization
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Legal Business Name | JIN MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 926 ARCH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1852
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Country | US
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Telephone | 267-908-4297
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Fax | 215-627-5191
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Provider Business Mailing Address
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Address Line | 926 ARCH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1852
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Country | US
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Telephone | 267-908-4297
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Fax | 215-627-5191
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Authorized Official
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Title or Position | OWNER
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Name | HAOLI JIN
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Credential | M.D.
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Telephone | 267-908-4297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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