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Individual
SE JUNG SHIN
Active
Individual
SE JUNG SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038373
WA
207P00000X
Emergency Medicine Physician
MD22180
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130308
—
OR
05
—
2065309
—
WA
01
—
G8959946
MEDICARE
WA
Enumeration date
01/27/2006
Last updated
04/30/2018
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