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General NPI Number Information
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NPI Number | 1407280217
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Entity Type | Organization
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Legal Business Name | J. RICHARD SHIH, DDS. INC.
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 8226 MIRAMAR RD
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City | SAN DIEGO
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State | CA
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Zip | 92126-4345
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Country | US
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Telephone | 858-689-6088
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Fax | 858-689-6086
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Provider Business Mailing Address
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Address Line | PO BOX 675846
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-5846
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Country | US
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Telephone | 858-689-6088
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JENG-KANG RICHARD SHIH
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Credential | D.D.S
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Telephone | 858-689-6088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 40885
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License Number State | CA
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