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General NPI Number Information
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NPI Number | 1225250103
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Entity Type | Organization
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Legal Business Name | DAN K SAKAMOTO M D MEDICAL CORP
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 23609 HAWTHORNE BLVD STE A
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City | TORRANCE
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State | CA
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Zip | 90505-6023
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Country | US
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Telephone | 310-378-7474
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Fax | 310-378-5454
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Provider Business Mailing Address
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Address Line | 23609 HAWTHORNE BLVD STE A
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City | TORRANCE
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State | CA
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Zip | 90505-6023
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Country | US
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Telephone | 310-378-7474
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Fax | 310-378-5454
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAULINE SETSUKO KAWACHI
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Credential |
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Telephone | 310-378-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G23249
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License Number State | CA
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