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General NPI Number Information
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NPI Number | 1881917680
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Entity Type | Individual
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Provider Name | GEORGE BOR-HUEY LIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 17-23 E. BROADWAY SUITE 301
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City | NEW YORK
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State | NY
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Zip | 10002
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Country | US
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Telephone | 212-233-6585
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Fax | 212-791-5222
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Provider Business Mailing Address
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Address Line | 273 BRANDYWINE DRIVE
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City | ORANGEBURG
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State | NY
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Zip | 10962
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Country | US
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Telephone | 845-359-5032
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Fax | 845-398-3868
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD114356
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License Number State | NY
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