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General NPI Number Information
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NPI Number | 1386698850
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Entity Type | Individual
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Provider Name | SHARON SATSUKI ITAYA MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 2529 S 1ST ST SOUTH AUSTIN COMMUNITY HEALTH CENTER
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City | AUSTIN
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State | TX
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Zip | 78704-5466
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Country | US
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Telephone | 572-972-4722
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Fax | 572-972-4708
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Provider Business Mailing Address
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Address Line | 15 WALLER ST ATTN: FINANCE, 5TH FLOOR
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City | AUSTIN
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State | TX
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Zip | 78702-5240
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Country | US
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Telephone | 572-978-9000
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Fax | 572-978-9001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | F7789
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License Number State | TX
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