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General NPI Number Information
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NPI Number | 1841850195
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Entity Type | Individual
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Provider Name | JOSEPHINE OK KYUNG SHIN PT
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Gender | Female
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 1426 FILLMORE ST STE 209
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-4164
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Country | US
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Telephone | 415-931-7878
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Fax | 415-931-6724
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Provider Business Mailing Address
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Address Line | 204 ALTA LOMA DR
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-2240
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Country | US
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Telephone | 415-314-0320
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Fax | 415-931-6724
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT19358
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License Number State | CA
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