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General NPI Number Information
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NPI Number | 1407277155
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Entity Type | Individual
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Provider Name | BINGTAO LIN MD
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Gender | Male
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Dates
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Enumeration Date | 12/25/2013
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 729 SUNRISE AVE STE 503
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City | ROSEVILLE
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State | CA
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Zip | 95661-4526
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Country | US
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Telephone | 916-932-4163
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Fax | 916-932-4167
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Provider Business Mailing Address
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Address Line | 1600 CREEKSIDE DR STE 2400
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City | FOLSOM
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State | CA
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Zip | 95630-3485
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Country | US
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Telephone | 916-932-4163
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Fax | 916-932-4167
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A141761
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License Number State | CA
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