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General NPI Number Information
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NPI Number | 1821714908
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Entity Type | Individual
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Provider Name | KAR LIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 3903 S COBB DR SE STE 200
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City | SMYRNA
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State | GA
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Zip | 30080-6301
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Country | US
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Telephone | 770-628-1367
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Fax |
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Provider Business Mailing Address
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Address Line | 519 CALIBRE LAKE PKWY SE
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City | SMYRNA
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State | GA
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Zip | 30082-7225
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Country | US
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Telephone | 678-308-4858
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 11204
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 11204
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License Number State | GA
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