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General NPI Number Information
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NPI Number | 1780198796
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Entity Type | Organization
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Legal Business Name | LIN PLASTIC AND RECONSTRUCTIVE SURGERY INC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 730 W COUCH PL UNIT 1409
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City | CHICAGO
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State | IL
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Zip | 60661-1383
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Country | US
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Telephone | 310-500-5135
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Fax |
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Provider Business Mailing Address
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Address Line | 730 W COUCH PL UNIT 1409
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City | CHICAGO
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State | IL
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Zip | 60661-1383
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Country | US
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Telephone | 310-500-5135
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Fax |
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Authorized Official
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Title or Position | PROVIDER/PRESIDENT
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Name | PEY-YI KEVIN LIN
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Credential | M.D.
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Telephone | 310-500-5135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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