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General NPI Number Information
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NPI Number | 1659436004
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Entity Type | Individual
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Provider Name | MYO AUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 1210 W BRAKER LN
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City | AUSTIN
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State | TX
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Zip | 78758-3801
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Country | US
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Telephone | 512-978-9300
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Fax | 512-279-2556
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Provider Business Mailing Address
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Address Line | 2115 KRAMER LN SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78758-4013
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Country | US
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Telephone | 512-978-9000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 002612
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License Number State | NY
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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 | N2390
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License Number State | TX
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