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General NPI Number Information
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NPI Number | 1114548823
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Entity Type | Organization
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Legal Business Name | WINT HUN INC
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 1509 WILSON TER
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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 | 266-628-0876
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Fax | 308-872-7175
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Provider Business Mailing Address
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Address Line | 607 FOOTHILL BLVD # 405
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City | LA CANADA
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State | CA
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Zip | 91011-3402
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Country | US
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Telephone | 626-662-8087
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Fax | 308-872-7175
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Authorized Official
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Title or Position | PROVIDER
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Name | WINT THU HUN
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Credential | MD
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Telephone | 626-662-8087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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