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General NPI Number Information
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NPI Number | 1871962969
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Entity Type | Individual
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Provider Name | SHANG-CHIEN LIN MS, ATC, CES
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Gender | Male
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 200 RICHLAND AVE
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-593-0458
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Fax | 740-597-3023
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Provider Business Mailing Address
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Address Line | 1033 2ND ST APT 42
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City | LAFAYETTE
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State | CA
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Zip | 94549-3946
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Country | US
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Telephone | 803-979-9214
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL5362
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License Number State | FL
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