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General NPI Number Information
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NPI Number | 1518365089
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Entity Type | Individual
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Provider Name | QUN LIN
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Gender | Male
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 280 PATTERSON RD STE.1
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City | HAINES CITY
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State | FL
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Zip | 33844-6261
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Country | US
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Telephone | 863-421-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 3060 CHEROKEE RD
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City | SAINT CLOUD
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State | FL
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Zip | 34772-7450
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Country | US
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Telephone |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | MM77705
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License Number State | FL
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