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General NPI Number Information
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NPI Number | 1518298991
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Entity Type | Individual
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Provider Name | JENG Y LIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 8800 49TH ST N STE 101
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5332
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Country | US
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Telephone | 727-548-1111
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Fax | 727-361-1477
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Provider Business Mailing Address
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Address Line | 8800 49TH ST N STE 101
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5332
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Country | US
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Telephone | 727-548-1111
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Fax | 727-361-1477
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME41890
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License Number State | FL
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