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General NPI Number Information
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NPI Number | 1932543857
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Entity Type | Individual
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Provider Name | NATDANAI PUNNANITHINONT MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 22433 S VERMONT AVE APT 451
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City | TORRANCE
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State | CA
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Zip | 90502-2586
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Country | US
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Telephone | 319-384-8397
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Fax | 319-356-3086
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Provider Business Mailing Address
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Address Line | 22433 S VERMONT AVE APT 451
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City | TORRANCE
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State | CA
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Zip | 90502-2586
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Country | US
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Telephone | 319-384-8397
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Fax | 319-356-3086
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36859
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD49697
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number | MD49697
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C199544
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License Number State | CA
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