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General NPI Number Information
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NPI Number | 1457509374
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Entity Type | Individual
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Provider Name | EDWARD C LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 301 EAST 17TH STREET DEPARTMENT OF ANESTHESIOLOGY
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-598-6085
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Fax |
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Provider Business Mailing Address
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Address Line | 301 EAST 17TH STREET DEPARTMENT OF ANESTHESIOLOGY
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-598-6085
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 243805
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License Number State | NY
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