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General NPI Number Information
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NPI Number | 1497168967
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Entity Type | Individual
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Provider Name | HAN SHIN RN,MN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 529 MAPLE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90013-1511
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Country | US
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Telephone | 213-430-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 1396 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91104-5019
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Country | US
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Telephone | 213-446-9286
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 250558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 250558
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License Number State | CA
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