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General NPI Number Information
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NPI Number | 1376948968
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Entity Type | Organization
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Legal Business Name | GERALD MYINT MD INC
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Dates
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Enumeration Date | 10/26/2014
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Last Update Date | 10/26/2014
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Provider Practice Location Address
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Address Line | 27206 CALAROGA AVE STE 201
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City | HAYWARD
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State | CA
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Zip | 94545-4300
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Country | US
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Telephone | 510-565-8050
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Fax | 510-894-4796
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Provider Business Mailing Address
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Address Line | 34287 PINNACLES DR
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City | UNION CITY
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State | CA
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Zip | 94587-3657
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Country | US
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Telephone | 510-565-8050
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Fax | 510-894-4796
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GERALD HLA MYINT
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Credential | M.D.
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Telephone | 510-565-8050
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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 | A96837
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License Number State | CA
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