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General NPI Number Information
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NPI Number | 1891847174
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Entity Type | Individual
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Provider Name | CHRISTINA M SHIM NP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19636 N 27TH AVE STE 306
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City | PHOENIX
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State | AZ
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Zip | 85027-4019
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Country | US
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Telephone | 623-869-8952
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Fax | 623-434-4169
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Provider Business Mailing Address
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Address Line | 9100 N 2ND ST STE 201
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City | PHOENIX
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State | AZ
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Zip | 85020-2450
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Country | US
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Telephone | 602-395-1388
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Fax | 602-395-1378
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | AP1158
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License Number State | AZ
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