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General NPI Number Information
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NPI Number | 1467646687
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Entity Type | Organization
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Legal Business Name | AUNG & CASASNOVAS, M.D.,PA
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD PROFESSIONAL OFFICE BUILDING, SUITE#402
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City | BALTIMORE
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State | MD
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Zip | 21239-2905
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Country | US
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Telephone | 410-464-5700
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Fax | 410-464-5701
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Provider Business Mailing Address
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Address Line | PO BOX 20089
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City | BALTIMORE
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State | MD
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Zip | 21284-0089
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Country | US
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Telephone | 410-464-5700
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Fax | 410-464-5701
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAN AUNG
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Credential | M.D.,FAAP.
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Telephone | 410-464-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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