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General NPI Number Information
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NPI Number | 1114048840
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Entity Type | Individual
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Provider Name | YUKO TAKEDA O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 1350 ALA MOANA BLVD #3008
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City | HONOLULU
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State | HI
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Zip | 96814-4216
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Country | US
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Telephone | 808-964-1664
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Fax | 808-944-0090
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Provider Business Mailing Address
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Address Line | 1350 ALA MOANA BLVD #3008
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City | HONOLULU
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State | HI
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Zip | 96814-4216
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Country | US
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Telephone | 808-964-1664
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Fax | 808-356-1601
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD404
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License Number State | HI
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