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General NPI Number Information
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NPI Number | 1497814339
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Entity Type | Individual
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Provider Name | BRENTON YAMASHITA PT
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 6049 N 1ST ST SUITE 104
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City | FRESNO
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State | CA
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Zip | 93710-5449
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Country | US
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Telephone | 559-438-0355
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Fax | 559-438-0359
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Provider Business Mailing Address
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Address Line | 6049 N 1ST ST SUITE 104
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City | FRESNO
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State | CA
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Zip | 93710-5449
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Country | US
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Telephone | 559-438-0355
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Fax | 559-438-0359
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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