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NPI 1750397121

NPI 1750397121 : ZAE U SHIM MD : MILLVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1750397121
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    Entity Type          |    Individual 
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    Provider Name        |    ZAE U SHIM MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    1000 N HIGH ST 
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    City                 |    MILLVILLE
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    State                |    NJ
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    Zip                  |    08332-2527
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    Country              |    US
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    Telephone            |    856-327-0016
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    Fax                  |    856-327-5264
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Provider Business Mailing Address
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    Address Line         |    1000 N HIGH ST 
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    City                 |    MILLVILLE
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    State                |    NJ
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    Zip                  |    08332-2527
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    Country              |    US
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    Telephone            |    856-327-0016
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    Fax                  |    856-327-5264
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    25MA02623000
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    License Number State |    NJ
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