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General NPI Number Information
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NPI Number | 1538210638
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Entity Type | Individual
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Provider Name | FRANCIS SHIN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 25 VALLEY DR STE 2
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City | GREENWICH
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State | CT
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Zip | 06831-5203
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Country | US
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Telephone | 203-625-0301
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Fax | 203-661-2699
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Provider Business Mailing Address
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Address Line | 25 VALLEY DR STE 2
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City | GREENWICH
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State | CT
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Zip | 06831-5203
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Country | US
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Telephone | 203-625-0301
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Fax | 203-661-2699
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 047646
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 009649
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License Number State | CT
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