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General NPI Number Information
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NPI Number | 1386088953
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Entity Type | Organization
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Legal Business Name | YOSHIO ODA,M.D.INC.
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 1150 S KING ST # R00M504
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City | HONOLULU
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State | HI
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Zip | 96814-1922
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Country | US
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Telephone | 808-523-5503
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 S KING ST REET ROOM 504
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City | HONOLULU
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State | HI
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Zip | 96814-1922
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Country | US
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Telephone | 808-523-5503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOSHIO ODA
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Credential | M.D.
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Telephone | 808-523-5503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1214
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License Number State | HI
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