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General NPI Number Information
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NPI Number | 1780871186
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Entity Type | Individual
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Provider Name | PETER T LIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2007
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 800 POLLARD RD SUITE C30
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City | LOS GATOS
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State | CA
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Zip | 95032-1415
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Country | US
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Telephone | 408-376-0316
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Fax | 408-841-7567
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Provider Business Mailing Address
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Address Line | 800 POLLARD RD STE C30
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City | LOS GATOS
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State | CA
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Zip | 95032-1431
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A79891
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License Number State | CA
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