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General NPI Number Information
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NPI Number | 1699981001
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Entity Type | Individual
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Provider Name | ALEX LING LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 714-362-5590
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Fax |
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Provider Business Mailing Address
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Address Line | 9802 BIG SUR DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-5310
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Country | US
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Telephone | 714-362-5590
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A90205
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License Number State | CA
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