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Individual
PHINARAK HAO
Active
Individual
PHINARAK HAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA44
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002575600
—
FL
01
—
DE223Z
MEDICARE NUMBER
FL
Enumeration date
10/23/2009
Last updated
11/07/2016
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