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General NPI Number Information
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NPI Number | 1902079171
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Entity Type | Organization
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Legal Business Name | JOSEPHINE THAN WIN, M.D.P.A.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 2097 N COLLINS BLVD STE 198
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City | RICHARDSON
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State | TX
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Zip | 75080-2684
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Country | US
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Telephone | 972-680-9983
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Fax | 972-680-9163
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Provider Business Mailing Address
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Address Line | 2097 N COLLINS BLVD STE 198
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City | RICHARDSON
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State | TX
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Zip | 75080-2684
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Country | US
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Telephone | 972-680-9983
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Fax | 972-680-9163
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPHINE THAN WIN
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Credential | M.D.
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Telephone | 972-680-9983
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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 | J4678
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License Number State | TX
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