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General NPI Number Information
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NPI Number | 1447575626
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Entity Type | Organization
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Legal Business Name | MYO THANT M.D.P.A.
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 04/22/2010
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Provider Practice Location Address
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Address Line | 602 S ATWOOD RD SUITE 200
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City | BEL AIR
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State | MD
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Zip | 21014-4172
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Country | US
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Telephone | 410-420-1480
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Fax | 410-803-4411
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Provider Business Mailing Address
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Address Line | 602 S ATWOOD RD SUITE 200
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City | BEL AIR
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State | MD
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Zip | 21014-4172
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Country | US
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Telephone | 410-420-1480
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Fax | 410-803-4411
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MYO THANT
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Credential | M.D.
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Telephone | 410-420-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D18487
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License Number State | MD
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