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General NPI Number Information
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NPI Number | 1972093110
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Entity Type | Individual
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Provider Name | PAUL EUNHYUNG SHIN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 5184 TEX OAK AVE FL 5
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City | DALLAS
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State | TX
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Zip | 75235-7822
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Country | US
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Telephone | 214-590-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 SUNDERLAND CT
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City | ALLEN
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State | TX
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Zip | 75013-7001
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Country | US
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Telephone | 214-778-7831
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP136875
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License Number State | TX
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