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General NPI Number Information
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NPI Number | 1841651783
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Entity Type | Individual
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Provider Name | EMILY LIN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 1234 TURNER RD
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City | PAGO PAGO
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State | AS
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Zip | 96799
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Country | US
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Telephone | 684-733-3932
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 4290
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City | PAGO PAGO
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State | AS
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Zip | 96799
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH-3878
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License Number State | HI
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