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General NPI Number Information
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NPI Number | 1942498746
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Entity Type | Organization
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Legal Business Name | BENJAMIN J. LIN, D.M.D., INC.
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Dates
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Enumeration Date | 10/07/2007
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 3409 CALLOWAY DR UNIT 402
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2517
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Country | US
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Telephone | 661-387-6577
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 CALLOWAY DR UNIT 402
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2517
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Country | US
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Telephone | 661-387-6577
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. BENJAMIN J. LIN
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Credential | D.M.D.
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Telephone | 661-387-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 54173
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License Number State | CA
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