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General NPI Number Information
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NPI Number | 1598965816
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Entity Type | Organization
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Legal Business Name | LIN-YUN-HU DENTAL CORPORATION
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 212 S ATLANTIC BLVD SUITE 103
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City | EAST LOS ANGELES
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State | CA
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Zip | 90022-1754
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Country | US
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Telephone | 323-722-6600
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Fax | 323-722-6664
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Provider Business Mailing Address
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Address Line | 212 S ATLANTIC BLVD SUITE 103
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City | EAST LOS ANGELES
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State | CA
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Zip | 90022-1754
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Country | US
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Telephone | 323-722-6600
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Fax | 323-722-6664
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. LIN YUN HU
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Credential | DDS
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Telephone | 323-722-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 44185
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License Number State | CA
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