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General NPI Number Information
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NPI Number | 1992718191
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Entity Type | Individual
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Provider Name | KENDRA K SHIH MD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 EAST MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
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City | ANN ARBOR
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State | MI
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Zip | 48109-0020
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Country | US
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Telephone | 734-996-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 216 PINERIDGE ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-3606
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Country | US
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Telephone | 734-476-7480
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301079679
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License Number State | MI
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