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General NPI Number Information
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NPI Number | 1144268061
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Entity Type | Individual
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Provider Name | KIMITAKA SAITO MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 202 NEWSOME DR
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City | MARKED TREE
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State | AR
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Zip | 72365-2021
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Country | US
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Telephone | 870-358-4355
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Fax | 870-358-4357
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Provider Business Mailing Address
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Address Line | PO BOX 616
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City | MARKED TREE
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State | AR
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Zip | 72365-0616
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Country | US
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Telephone | 870-358-4355
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Fax | 870-358-4357
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R-2736
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License Number State | AR
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