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General NPI Number Information
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NPI Number | 1255473575
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Entity Type | Individual
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Provider Name | CARL HYUN-GEOL SHIN MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 2424 ARDEN WAY STE 301
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City | SACRAMENTO
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State | CA
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Zip | 95825-2482
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Country | US
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Telephone | 916-977-0741
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Fax | 916-977-0547
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Provider Business Mailing Address
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Address Line | 2424 ARDEN WAY STE 301
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City | SACRAMENTO
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State | CA
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Zip | 95825-2482
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Country | US
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Telephone | 916-977-0741
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Fax | 916-977-0547
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A60900
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A60900
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A60900
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License Number State | CA
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