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General NPI Number Information
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NPI Number | 1063527422
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Entity Type | Organization
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Legal Business Name | ROBERT KIYOMURA MD PC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2084 ROBINS DR SUITE B
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City | LAYTON
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State | UT
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Zip | 84041-1100
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Country | US
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Telephone | 801-773-9710
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Fax | 801-773-9944
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Provider Business Mailing Address
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Address Line | 2084 ROBINS DR SUITE B
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City | LAYTON
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State | UT
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Zip | 84041-1100
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Country | US
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Telephone | 801-773-9710
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Fax | 801-773-9944
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT SHIGERU KIYOMURA
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Credential | M.D.
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Telephone | 801-773-9710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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