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General NPI Number Information
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NPI Number | 1316094188
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Entity Type | Organization
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Legal Business Name | OSAKAYA INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2414 N OCOEE ST
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City | CLEVELAND
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State | TN
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Zip | 37311-3854
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Country | US
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Telephone | 423-476-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 N OCOEE ST
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City | CLEVELAND
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State | TN
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Zip | 37311-3854
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | SADAYUKI ENDO
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Credential |
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Telephone | 423-476-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0000003560
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License Number State | TN
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