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General NPI Number Information
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NPI Number | 1851326557
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Entity Type | Individual
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Provider Name | DAVID SU-SIEN LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 17310 WRIGHT ST STE 103
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City | OMAHA
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State | NE
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Zip | 68130-2405
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Country | US
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Telephone | 833-228-6889
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Fax | 877-853-0376
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Provider Business Mailing Address
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Address Line | PO BOX 635
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City | WEST COVINA
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State | CA
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Zip | 91793-0635
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Country | US
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Telephone | 626-813-9988
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Fax | 626-813-0049
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A91627
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17984
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14175C
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License Number State | WY
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