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General NPI Number Information
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NPI Number | 1073729653
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Entity Type | Individual
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Provider Name | JANELLE YOUNG SHIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2921 11TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-0827
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Country | US
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Telephone | 703-979-1425
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Fax | 703-979-1436
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Provider Business Mailing Address
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Address Line | 2921 11TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-0827
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Country | US
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Telephone | 703-979-1425
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Fax | 703-979-1436
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10101273117
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME 98229
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License Number State | FL
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