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General NPI Number Information
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NPI Number | 1376115907
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Entity Type | Individual
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Provider Name | THIN SANDAR KHINE DMD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 1077 NJ-34 SUITE J, ABERDEEN TOWNSHIP, NJ 07747
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City | ABERDEEN TOWNSHIP
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State | NJ
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Zip | 07747
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Country | US
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Telephone | 732-441-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 10 W 135TH ST APT 10G
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City | NEW YORK
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State | NY
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Zip | 10037-2623
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Country | US
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Telephone |
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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 | 22DI02839600
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License Number State | NJ
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