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General NPI Number Information
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NPI Number | 1962578898
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Entity Type | Organization
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Legal Business Name | ERNIE E LIN, MD, PC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 211 PLEASANT HOME RD. SUITE F-3
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City | AUGUSTA
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State | GA
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Zip | 30907-0559
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Country | US
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Telephone | 706-855-5666
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Fax | 706-855-7248
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Provider Business Mailing Address
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Address Line | 211 PLEASANT HOME RD STE F3
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City | AUGUSTA
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State | GA
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Zip | 30907-0559
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Country | US
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Telephone | 706-855-5666
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Fax | 706-855-7248
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNIE E LIN
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Credential | M.D.
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Telephone | 706-855-5666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 40460
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License Number State | GA
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