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General NPI Number Information
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NPI Number | 1093435034
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Entity Type | Individual
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Provider Name | SHIN JUNG HSIEH
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1270 HARRISON ST
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City | SEATTLE
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State | WA
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Zip | 98109-5410
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Country | US
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Telephone | 206-260-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 4759 15TH AVE NE APT 314
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City | SEATTLE
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State | WA
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Zip | 98105-4404
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Country | US
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Telephone | 347-749-6849
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE61330044
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License Number State | WA
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