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NPI 1104239334

NPI 1104239334 : GERALD MING M.D. : YOKOSUKA, JAPAN

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General NPI Number Information
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    NPI Number           |    1104239334
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    Entity Type          |    Individual 
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    Provider Name        |    GERALD MING M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/05/2014
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    Last Update Date     |    08/02/2023
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Provider Practice Location Address
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    Address Line         |    NMRTC/USNH YOKOSUKA JAPAN PSC 475
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    City                 |    YOKOSUKA
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    State                |    JAPAN
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    Zip                  |    96350
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    Country              |    JP
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    Telephone            |    315-243-8595
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PSC 475 BOX 1 
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    City                 |    FPO
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    State                |    AP
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    Zip                  |    96350-1200
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    Country              |    US
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    Telephone            |    
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    A139143
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    License Number State |    CA
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