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General NPI Number Information
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NPI Number | 1790761674
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Entity Type | Individual
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Provider Name | CHIN R LIN DDS
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | FLUGPLATZ ERBENHEIM BLDG 1040
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City | WIESBADEN
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State | HESSEN
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Zip | 65205
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Country | DE
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Telephone | 0637194641325
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Fax |
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Provider Business Mailing Address
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Address Line | FLUGPLATZ ERBENHEIM BLDG 1040
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City | WIESBADEN
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State | HESSEN
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Zip | 65205
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Country | DE
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 51028
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 019-023264
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License Number State | IL
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