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General NPI Number Information
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NPI Number | 1306247937
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Entity Type | Organization
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Legal Business Name | GLENN S. YONEMURA, MD INC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 3221 WAIALAE AVE STE 382
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City | HONOLULU
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State | HI
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Zip | 96816-5845
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Country | US
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Telephone | 808-735-3764
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Fax | 808-732-9463
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Provider Business Mailing Address
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Address Line | 3221 WAIALAE AVE STE 382
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City | HONOLULU
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State | HI
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Zip | 96816-5845
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Country | US
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Telephone | 808-735-3764
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Fax | 808-732-9463
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLENN SATORU YONEMURA
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Credential | MD
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Telephone | 808-735-3764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5308
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License Number State | HI
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