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General NPI Number Information
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NPI Number | 1689162240
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Entity Type | Organization
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Legal Business Name | ZAY YA KYAW DDS, INC.
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Dates
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Enumeration Date | 04/28/2018
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Last Update Date | 04/28/2018
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Provider Practice Location Address
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Address Line | 13757 AMAR RD STE A
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City | LA PUENTE
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State | CA
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Zip | 91746-1692
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Country | US
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Telephone | 626-337-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 613 S 3RD AVE UNIT A
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City | ARCADIA
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State | CA
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Zip | 91006-6136
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Country | US
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Telephone | 626-446-2897
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ZAY YA KYAW
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Credential | DDS
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Telephone | 626-446-2897
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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 | 49918
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License Number State | CA
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