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General NPI Number Information
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NPI Number | 1154272995
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Entity Type | Individual
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Provider Name | TOSHIYUKI WATANABE
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Gender | Male
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4355 FERGUSON DR
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City | CINCINNATI
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State | OH
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Zip | 45245-5136
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Country | US
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Telephone | 513-232-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 3316 KRUER CT
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City | EDGEWOOD
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State | KY
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Zip | 41017-4901
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Country | US
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Telephone | 859-206-9742
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT022199
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License Number State | OH
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