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General NPI Number Information
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NPI Number | 1073792172
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Entity Type | Individual
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Provider Name | GERALD HLA MYINT M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 27206 CALAROGA AVE SUITE 205
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City | HAYWARD
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State | CA
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Zip | 94545-4300
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Country | US
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Telephone | 510-670-1111
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Fax | 510-670-4772
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Provider Business Mailing Address
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Address Line | 1532 150TH AVENUE
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1823
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Country | US
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Telephone | 510-351-6363
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Fax | 510-278-3757
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A96837
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License Number State | CA
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