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General NPI Number Information
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NPI Number | 1801168000
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Entity Type | Organization
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Legal Business Name | HUEY C LIN MD INC
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 2621 S BRISTOL ST SUITE 207
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City | SANTA ANA
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State | CA
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Zip | 92704-5766
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Country | US
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Telephone | 714-557-0703
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Fax | 714-557-0708
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Provider Business Mailing Address
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Address Line | 2621 S BRISTOL ST SUITE 207
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City | SANTA ANA
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State | CA
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Zip | 92704-5766
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Country | US
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Telephone | 714-557-0703
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Fax | 714-557-0708
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUEY C. LIN
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Credential | M.D.
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Telephone | 714-557-0703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A35361
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License Number State | CA
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