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General NPI Number Information
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NPI Number | 1235418575
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Entity Type | Organization
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Legal Business Name | KHIN KHIN OO, M.D., INC
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 238 S ARROYO PKWY STE 150
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City | PASADENA
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State | CA
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Zip | 91105-4190
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Country | US
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Telephone | 626-744-9290
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Fax | 626-744-9276
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Provider Business Mailing Address
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Address Line | 238 S ARROYO PKWY STE 150
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City | PASADENA
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State | CA
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Zip | 91105-4190
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Country | US
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Telephone | 626-744-9290
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Fax | 626-744-9276
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Authorized Official
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Title or Position | MEDICAL OFFICER
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Name | KHIN KHIN OO
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Credential | MD
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Telephone | 626-744-9290
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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 | A56521
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License Number State | CA
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