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NPI 1689015349

NPI 1689015349 : THOMAS T H LIN MD INC. : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1689015349
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMAS T H LIN MD INC. 
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Dates
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    Enumeration Date     |    07/10/2013
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    Last Update Date     |    07/10/2013
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Provider Practice Location Address
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    Address Line         |    2405 FOREST AVE. SUITE 201
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95128-1520
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    Country              |    US
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    Telephone            |    408-296-9888
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    Fax                  |    408-296-9833
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Provider Business Mailing Address
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    Address Line         |    2405 FOREST AVE. SUITE 201
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95128-1520
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    Country              |    US
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    Telephone            |    408-296-9888
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    Fax                  |    408-296-9833
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Authorized Official
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    Title or Position    |    SOLE OWNER OF CORPORATION
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    Name                 |    MR. THOMAS T.H. LIN 
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    Credential           |    M.D.
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    Telephone            |    408-296-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    A30516
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    License Number State |    CA
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