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General NPI Number Information
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NPI Number | 1467373704
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Entity Type | Individual
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Provider Name | JULIA SHIN
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Gender | Female
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 8715 TRAUTWEIN RD STE A
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City | RIVERSIDE
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State | CA
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Zip | 92508-9474
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Country | US
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Telephone | 951-776-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 7871 MISSION GROVE PKWY S APT 12
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City | RIVERSIDE
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State | CA
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Zip | 92508-5027
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Country | US
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Telephone | 213-435-4586
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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 | DDS113062
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License Number State | CA
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