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General NPI Number Information
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NPI Number | 1386714434
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Entity Type | Individual
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Provider Name | NYUN NYUN MYINT M.D
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 10 GRACE AVENUE SUITE 8
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-435-5703
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Fax | 516-437-4336
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Provider Business Mailing Address
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Address Line | 173 CLAUDY LN
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1638
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Country | US
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Telephone | 516-435-5703
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Fax | 516-437-4336
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 215474
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License Number State | NY
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