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General NPI Number Information
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NPI Number | 1952409559
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Entity Type | Organization
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Legal Business Name | DR LIN AND ASSOCIATES S C
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 386 N YORK ST STE 201
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City | ELMHURST
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State | IL
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Zip | 60126-2363
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Country | US
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Telephone | 630-832-6711
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Fax | 630-832-6855
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Provider Business Mailing Address
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Address Line | 386 N YORK ST STE 201
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City | ELMHURST
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State | IL
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Zip | 60126-2363
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Country | US
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Telephone | 630-832-6711
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Fax | 630-832-6855
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Authorized Official
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Title or Position | OWNER
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Name | DR. MALI LIN
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Credential | M.D.
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Telephone | 630-832-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036-057961
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License Number State | IL
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