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General NPI Number Information
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NPI Number | 1033381173
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Entity Type | Individual
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Provider Name | CHRISTINA YEN TATSUYAMA D.P.T
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Gender | Female
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 4867 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5969
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Country | US
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Telephone | 323-783-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 138 N BEAUDRY AVE UNIT 451
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City | LOS ANGELES
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State | CA
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Zip | 90012-3373
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Country | US
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Telephone | 808-780-2061
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | HI-1846
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 34631
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License Number State | CA
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