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General NPI Number Information
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NPI Number | 1518746759
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Entity Type | Individual
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Provider Name | QIONGCHAN LIN NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 3808 UNION ST STE 3I
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City | FLUSHING
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State | NY
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Zip | 11354-5670
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Country | US
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Telephone | 917-633-2563
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Fax |
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Provider Business Mailing Address
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Address Line | 389 ARGYLE RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-4204
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Country | US
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Telephone | 917-551-0890
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 311508
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License Number State | NY
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