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General NPI Number Information
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NPI Number | 1457428351
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Entity Type | Individual
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Provider Name | CHAO-MING CHARLES LIN MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 2232 S MOUNTAIN AVE
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City | ONTARIO
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State | CA
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Zip | 91762-6132
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Country | US
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Telephone | 909-986-4692
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Fax | 909-986-1994
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Provider Business Mailing Address
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Address Line | 5145 CELLINI DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-6146
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Country | US
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Telephone | 909-986-4692
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A66705
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License Number State | CA
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