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General NPI Number Information
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NPI Number | 1528183217
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Entity Type | Individual
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Provider Name | GUY NATHAN YATSUSHIRO MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/02/2013
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Provider Practice Location Address
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Address Line | 1914 SOUTH KING STREET #201
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City | HONOLULU
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State | HI
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Zip | 96826
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Country | US
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Telephone | 808-946-7159
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Fax | 808-946-7158
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Provider Business Mailing Address
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Address Line | 1914 SOUTH KING STREET #201
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City | HONOLULU
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State | HI
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Zip | 96826
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Country | US
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Telephone | 808-946-7159
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Fax | 808-946-7158
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4722
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License Number State | HI
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