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General NPI Number Information
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NPI Number | 1699977264
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Entity Type | Individual
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Provider Name | CHEN-LING LIN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 15203 KNOLL TRAIL DR SUITE 117
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City | DALLAS
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State | TX
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Zip | 75248-3482
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Country | US
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Telephone | 214-663-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 15203 KNOLL TRAIL DR SUITE 117
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City | DALLAS
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State | TX
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Zip | 75248-3482
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Country | US
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Telephone | 214-663-5003
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22099
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License Number State | TX
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