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General NPI Number Information
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NPI Number | 1932887296
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Entity Type | Individual
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Provider Name | ANDY LIN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 1250 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02169-4339
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Country | US
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Telephone | 617-934-7419
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 HANCOCK ST APT 814
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City | QUINCY
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State | MA
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Zip | 02169-4357
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Country | US
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Telephone | 978-852-7725
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859809
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License Number State | MA
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