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General NPI Number Information
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NPI Number | 1053307959
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Entity Type | Individual
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Provider Name | CINDY QINGXIN SHI MD PHD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 1060 WINDSOR RD
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City | RED LION
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State | PA
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Zip | 17356-8656
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Country | US
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Telephone | 717-246-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 MOUNT ROSE AVE SUITE B2
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City | YORK
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State | PA
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Zip | 17403-3026
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Country | US
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Telephone | 717-851-1405
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Fax | 717-812-4087
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD067998L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | BS6481989
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | MD067998L
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License Number State | PA
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