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General NPI Number Information
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NPI Number | 1043339492
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Entity Type | Organization
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Legal Business Name | NIHON POD&ACU PRACTICE, LLC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18 E 41ST ST FL1
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City | NEW YORK
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State | NY
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Zip | 10017-6222
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Country | US
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Telephone | 212-683-0041
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Fax | 212-683-3414
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Provider Business Mailing Address
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Address Line | 18 E 41ST ST FL1
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City | NEW YORK
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State | NY
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Zip | 10017-6222
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Country | US
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Telephone | 212-683-0041
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Fax | 212-683-3414
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIKA HAYASHI
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Credential | D.P.M.
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Telephone | 212-683-0041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 006128
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License Number State | NY
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