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General NPI Number Information
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NPI Number | 1063637718
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Entity Type | Individual
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Provider Name | INAI L SHIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 4500 8TH DIVISION RD
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City | COLUMBIA
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State | SC
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Zip | 29207-5700
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Country | US
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Telephone | 803-751-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 210 COLUMBIA CLUB DR E
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9478
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Country | US
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Telephone | 11-822-7917
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Fax | 11-822-7913
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | SC8488
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License Number State | SC
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