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General NPI Number Information
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NPI Number | 1154659357
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Entity Type | Organization
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Legal Business Name | AARON T. SASAKI, MD, PC
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Dates
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Enumeration Date | 11/27/2009
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 2095 EXCHANGE ST SUITE 202
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City | ASTORIA
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State | OR
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Zip | 97103-3417
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Country | US
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Telephone | 503-338-4325
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Fax | 503-338-2903
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Provider Business Mailing Address
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Address Line | 2095 EXCHANGE ST SUITE 202
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City | ASTORIA
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State | OR
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Zip | 97103-3417
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Country | US
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Telephone | 503-338-4325
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Fax | 503-338-2903
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Authorized Official
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Title or Position | OWNER
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Name | AARON T SASAKI
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Credential | M.D.
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Telephone | 503-338-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD26759
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License Number State | OR
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