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General NPI Number Information
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NPI Number | 1528897733
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Entity Type | Individual
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Provider Name | DAVID MIZUKAWA
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Gender | Male
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160-8500
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Country | US
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Telephone | 913-588-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5104 W 158TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66224-3873
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Country | US
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Telephone | 435-668-3764
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.456710
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License Number State | OH
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