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General NPI Number Information
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NPI Number | 1871994806
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Entity Type | Organization
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Legal Business Name | SHIN ORTHODONTICS
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 11325 SEVEN LOCKS RD STE 256
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City | POTOMAC
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State | MD
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Zip | 20854-3230
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Country | US
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Telephone | 301-770-7770
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Fax | 301-770-7776
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Provider Business Mailing Address
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Address Line | 11325 SEVEN LOCKS RD STE 256
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City | POTOMAC
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State | MD
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Zip | 20854-3230
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Country | US
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Telephone | 301-770-7770
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Fax | 301-770-7776
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Authorized Official
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Title or Position | MEMBER
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Name | RICHARD C SHIN
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Credential |
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Telephone | 301-770-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 13685
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License Number State | MD
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