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General NPI Number Information
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NPI Number | 1992766000
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Entity Type | Organization
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Legal Business Name | UCLA ORAL PATHOLOGY
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90095-3075
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Country | US
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Telephone | 310-825-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 10833 LE CONTE AVE. CHS 53-058B
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City | LOS ANGELES
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State | CA
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Zip | 90095-1668
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Country | US
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Telephone | 310-206-4731
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Fax | 805-578-8950
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Authorized Official
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Title or Position | ASSOC. PROFESSOR
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Name | DR. YI-LING LIN
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Credential | DDS
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Telephone | 310-206-4731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 292200000X
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Taxonomy Name | Dental Laboratory
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License Number |
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License Number State |
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