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General NPI Number Information
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NPI Number | 1508991993
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Entity Type | Individual
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Provider Name | MICHAEL J SAKAMOTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 11216 TRINITY RIVER DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-2961
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Country | US
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Telephone | 916-635-6161
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Fax | 916-631-3788
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Provider Business Mailing Address
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Address Line | 11216 TRINITY RIVER DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-2961
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Country | US
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Telephone | 916-635-6161
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Fax | 916-631-3788
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G60930
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License Number State | CA
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