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General NPI Number Information
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NPI Number | 1649007212
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Entity Type | Organization
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Legal Business Name | MINGSANG LIN
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST STE 515
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City | HONOLULU
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State | HI
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Zip | 96826-1072
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Country | US
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Telephone | 808-955-3777
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Fax | 808-955-3779
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Provider Business Mailing Address
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Address Line | 1319 PUNAHOU ST STE 515
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City | HONOLULU
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State | HI
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Zip | 96826-1072
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Country | US
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Telephone | 808-955-3777
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Fax | 808-955-3779
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Authorized Official
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Title or Position | OWNER
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Name | MINGSANG LIN
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Credential | MD
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Telephone | 800-895-5377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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