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General NPI Number Information
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NPI Number | 1609059070
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Entity Type | Organization
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Legal Business Name | MA MAY THET NAING D.D.S. INC
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Dates
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Enumeration Date | 12/08/2007
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Last Update Date | 12/08/2007
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Provider Practice Location Address
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Address Line | 11766 VALLEY BLVD
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City | EL MONTE
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State | CA
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Zip | 91732-3044
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Country | US
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Telephone | 626-448-5000
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Fax | 626-448-5006
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Provider Business Mailing Address
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Address Line | 11766 VALLEY BLVD
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City | EL MONTE
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State | CA
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Zip | 91732-3044
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Country | US
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Telephone | 626-448-5000
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Fax | 626-448-5006
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MA MAY THET NAING
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Credential | D.D.S.
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Telephone | 626-448-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 46896
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License Number State | CA
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