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General NPI Number Information
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NPI Number | 1861542268
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Entity Type | Individual
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Provider Name | DR. KYAW K SOE
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 4747 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-2729
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Country | US
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Telephone | 415-585-5773
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Fax |
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Provider Business Mailing Address
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Address Line | 195 TALBERT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-2914
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Country | US
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Telephone | 415-333-4214
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 55189
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License Number State | CA
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