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General NPI Number Information
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NPI Number | 1831216456
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Entity Type | Individual
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Provider Name | KINGSTONE CHICHUNG SHIH DDS
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 505 SOUTH DR. STE. 10
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 950-964-1300
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Fax | 650-335-4707
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Provider Business Mailing Address
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Address Line | 3351 EL CAMINO REAL, STE. 222
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City | ATHERTON
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State | CA
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Zip | 94027
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Country | US
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Telephone | 650-361-0180
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Fax | 650-361-0113
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 42498
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License Number State | CA
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