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General NPI Number Information
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NPI Number | 1083754501
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Entity Type | Individual
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Provider Name | KHIN SWE LAY MD
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1509 WILSON TERRACE GLENDALE ADVENTIST MEDICAL CENTER
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City | GLENDALE
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State | CA
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Zip | 91206-4007
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Country | US
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Telephone | 818-409-8247
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Fax | 818-546-5647
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Provider Business Mailing Address
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Address Line | 6361 HARMAN DRIVE
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City | TUJUNGA
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State | CA
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Zip | 91042-3422
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Country | US
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Telephone | 818-919-2331
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A34553
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License Number State | CA
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