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General NPI Number Information
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NPI Number | 1417016445
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Entity Type | Organization
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Legal Business Name | TRI VALLEY CARDIOLOGY MEDICAL OFFICE
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 5565 W LAS POSITAS BLVD #300
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City | PLEASANTON
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State | CA
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Zip | 94588
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Country | US
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Telephone | 925-734-0712
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Fax | 925-734-9816
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Provider Business Mailing Address
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Address Line | 5565 W LAS POSITAS BLVD #300
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City | PLEASANTON
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State | CA
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Zip | 94588
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Country | US
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Telephone | 925-734-0712
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Fax | 925-734-9816
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MORGAN LIN
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Credential | MD
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Telephone | 925-734-0712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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