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General NPI Number Information
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NPI Number | 1588706691
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Entity Type | Individual
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Provider Name | KENDRIC ROBERT KAJIKAWA O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 145 E DUARTE RD STE D
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City | ARCADIA
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State | CA
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Zip | 91006-6691
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Country | US
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Telephone | 626-446-5235
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Fax | 626-446-5255
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Provider Business Mailing Address
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Address Line | 100 E HUNTINGTON DR STE 102
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City | ALHAMBRA
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State | CA
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Zip | 91801-1022
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Country | US
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Telephone | 626-281-1399
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6473T
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License Number State | CA
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