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Individual

FAWN JIN

Active
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Individual

FAWN JIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44764
CO
207R00000X
Internal Medicine Physician
Primary
716
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467557603
IA
05
47068731742
NE
Enumeration date
09/13/2006
Last updated
01/03/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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