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General NPI Number Information
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NPI Number | 1639564362
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Entity Type | Individual
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Provider Name | ESTHER SHIN DPM
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 12 PENNS TRL STE 154
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City | NEWTOWN
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State | PA
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Zip | 18940-3438
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Country | US
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Telephone | 888-964-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WINDERMERE DR
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City | BLUE BELL
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State | PA
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Zip | 19422-1448
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Country | US
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Telephone | 267-603-1488
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006690
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC006690
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License Number State | PA
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