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General NPI Number Information
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NPI Number | 1629750351
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Entity Type | Individual
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Provider Name | ZHIAN LIN
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Gender | Male
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 1322 3RD ST SE STE 20
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City | PUYALLUP
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State | WA
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Zip | 98372-3771
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Country | US
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Telephone | 253-697-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 HARBOR COUNTRY DR APT X202
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City | GIG HARBOR
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State | WA
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Zip | 98335-1874
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Country | US
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Telephone | 808-990-0319
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PH61309959
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License Number State | WA
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