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General NPI Number Information
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NPI Number | 1518612167
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Entity Type | Individual
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Provider Name | DAVID ISUKE OHNOKI
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Gender | Male
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Dates
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Enumeration Date | 02/12/2022
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Last Update Date | 02/12/2022
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Provider Practice Location Address
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Address Line | 25608 AMBER LEAF RD
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City | TORRANCE
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State | CA
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Zip | 90505-7102
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Country | US
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Telephone | 310-806-8258
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Fax |
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Provider Business Mailing Address
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Address Line | 25608 AMBER LEAF RD
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City | TORRANCE
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State | CA
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Zip | 90505-7102
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Country | US
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Telephone | 310-806-8258
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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