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General NPI Number Information
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NPI Number | 1487773693
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Entity Type | Organization
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Legal Business Name | ENG HUAN AND TIN HLA MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 200 JOSE FIGUERES AVE SUITE 430
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City | SAN JOSE
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State | CA
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Zip | 95116-1500
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Country | US
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Telephone | 408-929-6088
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Fax | 408-929-6087
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Provider Business Mailing Address
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Address Line | 200 JOSE FIGUERES AVE SUITE 430
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City | SAN JOSE
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State | CA
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Zip | 95116-1500
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Country | US
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Telephone | 408-929-6088
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Fax | 408-929-6087
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. TIN TIN HLA
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Credential | MD
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Telephone | 408-929-6088
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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 | A36658 (ENG HUAN)
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License Number State | CA
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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 | A36657 (TIN T HLA)
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A36657 (TIN HLA)
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A36658(ENG HUAN)
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License Number State | CA
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