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General NPI Number Information
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NPI Number | 1659361616
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Entity Type | Individual
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Provider Name | JENNY ZHANG LIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 4701 RANDOLPH RD SUITE 102
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City | ROCKVILLE
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State | MD
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Zip | 20852-2257
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Country | US
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Telephone | 310-881-6651
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Fax | 301-881-6653
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Provider Business Mailing Address
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Address Line | 4701 RANDOLPH RD SUITE 102
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City | ROCKVILLE
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State | MD
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Zip | 20852-2257
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Country | US
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Telephone | 310-881-6651
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Fax | 301-881-6653
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0059485
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | D0059485
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | D0059485
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License Number State | MD
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