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General NPI Number Information
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NPI Number | 1518603570
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Entity Type | Individual
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Provider Name | MOE PWINT PHYU HTOO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1638 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3424
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Country | US
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Telephone | 910-615-5680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 896263
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City | CHARLOTTE
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State | NC
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Zip | 28289-6263
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Country | US
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Telephone | 910-615-5864
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MT227128
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License Number State | PA
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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 | 95181
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2025-02557
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License Number State | NC
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