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General NPI Number Information
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NPI Number | 1245553932
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Entity Type | Organization
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Legal Business Name | MAUNG NI MEDICAL INC.
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 993 N BROADWAY STE. A
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City | LOS ANGELES
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State | CA
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Zip | 90012-1763
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Country | US
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Telephone | 213-625-7995
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Fax | 213-625-7997
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Provider Business Mailing Address
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Address Line | 993 N BROADWAY STE. A
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City | LOS ANGELES
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State | CA
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Zip | 90012-1763
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Country | US
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Telephone | 213-625-7995
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Fax | 213-625-7997
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS HWEE
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Credential | M.D.
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Telephone | 213-625-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A31812
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License Number State | CA
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