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General NPI Number Information
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NPI Number | 1598388167
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Entity Type | Individual
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Provider Name | MICHAEL LIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 700 E NORWEGIAN ST
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City | POTTSVILLE
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State | PA
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Zip | 17901-2710
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Country | US
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Telephone | 248-761-1295
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E NORWEGIAN ST
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City | POTTSVILLE
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State | PA
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Zip | 17901-2710
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4351046735
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01089859A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD487093
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License Number State | PA
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