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General NPI Number Information
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NPI Number | 1952461832
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Entity Type | Individual
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Provider Name | KHIN KHIN GYI M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 11645 WILSHIRE BLVD STE 1100
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City | LOS ANGELES
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State | CA
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Zip | 90025-6807
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Country | US
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Telephone | 310-945-6087
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Fax | 310-836-3082
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Provider Business Mailing Address
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Address Line | 10736 JEFFERSON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90230-4933
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Country | US
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Telephone | 310-945-6087
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Fax | 310-836-3082
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G62062
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License Number State | CA
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