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General NPI Number Information
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NPI Number | 1659240182
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Entity Type | Individual
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Provider Name | CHUN-CHIA LIN DMD, MPH
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Gender |
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 20700 LAKE CHABOT RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5401
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Country | US
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Telephone | 510-538-2098
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Fax |
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Provider Business Mailing Address
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Address Line | 457 MOLIMO DR
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1655
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS111209
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License Number State | CA
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