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General NPI Number Information
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NPI Number | 1750602694
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Entity Type | Individual
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Provider Name | JOHN LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 39350 CIVIC CENTER DR
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City | FREMONT
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State | CA
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Zip | 94538-2343
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Country | US
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Telephone | 510-299-3791
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Fax |
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Provider Business Mailing Address
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Address Line | 5123 CURTIS ST
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City | FREMONT
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State | CA
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Zip | 94538-2409
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Country | US
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Telephone | 510-299-3791
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 128544
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License Number State | CA
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