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General NPI Number Information
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NPI Number | 1689448110
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Entity Type | Individual
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Provider Name | EUNICE LIN DMD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 2103 BRANCH PIKE STE 16
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City | CINNAMINSON
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State | NJ
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Zip | 08077-3044
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Country | US
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Telephone | 856-829-1989
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Fax |
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Provider Business Mailing Address
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Address Line | 1246 N MASCHER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19122-4617
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Country | US
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Telephone | 609-217-3032
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02983700
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License Number State | NJ
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