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General NPI Number Information
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NPI Number | 1528333911
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Entity Type | Organization
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Legal Business Name | MICHELLE I-HSUAN LIN, PA
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 14315 CYPRESS ROSEHILL RD SUITE 100
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City | CYPRESS
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State | TX
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Zip | 77429-1013
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Country | US
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Telephone | 281-256-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 14315 CYPRESS ROSEHILL RD SUITE 100
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City | CYPRESS
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State | TX
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Zip | 77429-1013
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Country | US
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Telephone | 281-256-8585
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | MICHELLE LIN
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Credential | DDS, MS
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Telephone | 281-256-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 19856
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License Number State | TX
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