Provider Demographics
NPI:1710204896
Name:LIN, HSIEN T (DOM;AP)
Entity Type:Individual
Prefix:MR
First Name:HSIEN
Middle Name:T
Last Name:LIN
Suffix:
Gender:M
Credentials:DOM;AP
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Mailing Address - Street 1:1490 W 49TH PL
Mailing Address - Street 2:SUITE 570B
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3148
Mailing Address - Country:US
Mailing Address - Phone:305-287-3629
Mailing Address - Fax:305-827-3629
Practice Address - Street 1:1490 W 49TH PL
Practice Address - Street 2:SUITE 570B
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3148
Practice Address - Country:US
Practice Address - Phone:305-287-3629
Practice Address - Fax:305-827-3629
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP1804171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist