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General NPI Number Information
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NPI Number | 1740385889
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Entity Type | Individual
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Provider Name | VERNON WENHAU LIN MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 562-826-5049
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Fax | 562-826-5631
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Provider Business Mailing Address
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Address Line | 2500 N STATE ST
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-5706
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Fax | 601-984-5733
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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 | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | G75880
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | 25007
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License Number State | MS
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