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General NPI Number Information
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NPI Number | 1417214313
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Entity Type | Individual
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Provider Name | WONCHON LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 4974 S RAINBOW BLVD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89118-1413
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Country | US
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Telephone | 702-570-2820
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Fax | 831-604-0306
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Provider Business Mailing Address
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Address Line | 4974 S RAINBOW BLVD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89118-1413
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Country | US
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Telephone | 702-570-2820
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Fax | 831-604-0306
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A128895
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | 17092
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | A128895
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 17092
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License Number State | NV
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