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General NPI Number Information
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NPI Number | 1821158668
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Entity Type | Individual
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Provider Name | JAMES JUNG HYUN SHIN MS AUDIOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/13/2011
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Provider Practice Location Address
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Address Line | 2727 W OLYMPIC BLVD SUITE 308
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City | LOS ANGELES
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State | CA
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Zip | 90006-2699
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Country | US
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Telephone | 213-380-8618
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Fax | 213-380-2091
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Provider Business Mailing Address
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Address Line | 2727 W OLYMPIC BLVD SUITE 308
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City | LOS ANGELES
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State | CA
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Zip | 90006-2699
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Country | US
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Telephone | 213-380-8618
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Fax | 213-380-2091
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA4050
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU2108
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License Number State | CA
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