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General NPI Number Information
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NPI Number | 1295742476
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Entity Type | Individual
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Provider Name | THET LIN TUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 1300 36TH ST SUITE 1G
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City | VERO BEACH
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State | FL
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Zip | 32960-4898
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Country | US
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Telephone | 772-562-3960
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Fax | 772-562-3969
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Provider Business Mailing Address
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Address Line | 1300 36TH ST SUITE 1G
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City | VERO BEACH
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State | FL
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Zip | 32960-4898
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Country | US
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Telephone | 772-562-3960
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Fax | 772-562-3969
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME 97641
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME97641
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME97641
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License Number State | FL
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