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General NPI Number Information
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NPI Number | 1922038207
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Entity Type | Organization
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Legal Business Name | M. OHN MAUNG, MD, P.C.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 2216 PRINCESS ANNE ST SUITE 106
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3300
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Country | US
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Telephone | 540-899-2480
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Fax | 540-899-2484
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Provider Business Mailing Address
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Address Line | 2216 PRINCESS ANNE ST SUITE 106
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3300
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Country | US
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Telephone | 540-899-2480
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Fax | 540-899-2484
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | M. OHN MAUNG
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Credential | M.D.
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Telephone | 540-899-2480
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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 | 0101233399
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License Number State | VA
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