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General NPI Number Information
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NPI Number | 1659462380
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Entity Type | Organization
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Legal Business Name | STAN T LIN MD INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2324 SANTA RITA ROAD SUITE 5
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City | PLEASANTON
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State | CA
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Zip | 94566-4150
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Country | US
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Telephone | 925-484-4477
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Fax | 925-484-5299
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Provider Business Mailing Address
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Address Line | 2324 SANTA RITA ROAD SUITE 5
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City | PLEASANTON
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State | CA
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Zip | 94566-4150
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Country | US
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Telephone | 925-484-4477
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Fax | 925-484-5299
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Authorized Official
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Title or Position | PRESIDENT
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Name | STAN T LIN
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Credential | MD
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Telephone | 925-484-4477
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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 | A38562
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License Number State | CA
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