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General NPI Number Information
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NPI Number | 1649782889
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Entity Type | Organization
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Legal Business Name | DR. SIN DMD PA
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 2430 S CHURCH ST STE B
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City | BURLINGTON
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State | NC
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Zip | 27215-5202
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Country | US
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Telephone | 919-819-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 306 RUSSO VALLEY DR
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City | CARY
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State | NC
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Zip | 27519-8110
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Country | US
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Telephone | 919-819-8099
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Fax |
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. DONGHONG SIN
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Credential | DMD
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Telephone | 469-888-3918
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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 |
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License Number State |
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