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General NPI Number Information
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NPI Number | 1710703707
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Entity Type | Organization
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Legal Business Name | DEAN HEALTH LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 13511 40TH RD STE 3A
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City | FLUSHING
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State | NY
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Zip | 11354-5330
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Country | US
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Telephone | 929-375-7802
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Fax | 929-312-3799
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Provider Business Mailing Address
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Address Line | 4526 170TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-3319
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Country | US
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Telephone | 718-799-0170
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Fax | 929-312-3799
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Authorized Official
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Title or Position | L.AC.
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Name | LIWU LIN
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Credential |
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Telephone | 929-375-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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