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General NPI Number Information
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NPI Number | 1457362337
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Entity Type | Organization
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Legal Business Name | MINATOYA EYE CLINIC INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1003 PENSACOLA ST
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City | HONOLULU
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State | HI
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Zip | 96814-1927
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Country | US
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Telephone | 808-597-1133
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Fax | 808-596-0251
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Provider Business Mailing Address
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Address Line | 1003 PENSACOLA ST
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City | HONOLULU
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State | HI
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Zip | 96814-1927
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Country | US
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Telephone | 808-597-1133
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Fax | 808-596-0251
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HARVEY MINATOYA
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Credential | MD
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Telephone | 808-597-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10209382
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License Number State | HI
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