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General NPI Number Information
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NPI Number | 1710036629
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Entity Type | Organization
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Legal Business Name | AUNG-CHAN-THAR, INC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3630 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2609
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Country | US
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Telephone | 310-900-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 17243 SANTA CRUZ CT
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City | YORBA LINDA
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State | CA
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Zip | 92886-6247
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Country | US
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Telephone | 714-985-4669
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | DR. HTOO AUNG
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Credential | MD
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Telephone | 310-415-6787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A78804
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License Number State | CA
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