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General NPI Number Information
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NPI Number | 1821533662
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Entity Type | Organization
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Legal Business Name | LIN'S TCM CLINIC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 42 RIDGE RD
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City | N ARLINGTON
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State | NJ
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Zip | 07031-6319
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Country | US
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Telephone | 973-978-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 26 N ASHBY AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-2009
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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 | ACUPUNCTURIST
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Name | CHIEN LIANG LIN
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Credential |
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Telephone | 973-978-0887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00120700
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License Number State | NJ
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