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General NPI Number Information
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NPI Number | 1023903994
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Entity Type | Organization
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Legal Business Name | L SHIM DMD MS PLLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3300 W MCGRAW ST STE 210
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City | SEATTLE
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State | WA
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Zip | 98199-3246
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Country | US
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Telephone | 206-848-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 W MCGRAW ST STE 210
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City | SEATTLE
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State | WA
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Zip | 98199-3246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER ORTHODONTIST
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Name | LAURA SHIM
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Credential | DMD, MS
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Telephone | 541-206-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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