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General NPI Number Information
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NPI Number | 1033970959
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Entity Type | Organization
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Legal Business Name | JENNIFER SHIN DDS INC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 17024 CLARK AVE STE C
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City | BELLFLOWER
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State | CA
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Zip | 90706-5700
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Country | US
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Telephone | 213-810-1318
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Fax |
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Provider Business Mailing Address
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Address Line | 17024 CLARK AVE STE C
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City | BELLFLOWER
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State | CA
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Zip | 90706-5700
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Country | US
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Telephone | 213-810-1318
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER SHIN
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Credential | DDS
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Telephone | 213-810-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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