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General NPI Number Information
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NPI Number | 1437338340
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Entity Type | Organization
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Legal Business Name | WAYNE T NISHIGAYA, M.D.
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 05/27/2012
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Provider Practice Location Address
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Address Line | 3010 W ORANGE AVE SUITE 201
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City | ANAHEIM
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State | CA
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Zip | 92804-3169
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Country | US
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Telephone | 714-827-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 W ORANGE AVE SUITE 201
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City | ANAHEIM
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State | CA
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Zip | 92804-3169
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Country | US
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Telephone | 714-827-9700
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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. WAYNE T NISHIGAYA
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Credential | M.D.
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Telephone | 714-220-9301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C32497
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License Number State | CA
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