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General NPI Number Information
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NPI Number | 1003793803
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Entity Type | Organization
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Legal Business Name | MSHIN ACADEMIC FOUNDATION
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2321 173RD AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-6049
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Country | US
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Telephone | 425-449-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 173RD AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-6049
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Country | US
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Telephone | 425-449-2060
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MEERA SHIN
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Credential |
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Telephone | 425-449-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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