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General NPI Number Information
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NPI Number | 1609946037
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Entity Type | Organization
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Legal Business Name | EDWARD Y. HENJYOJI, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 351 ROLLING OAKS DR SUITE 101
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1275
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Country | US
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Telephone | 805-449-4194
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Fax | 805-497-6144
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Provider Business Mailing Address
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Address Line | 351 ROLLING OAKS DR SUITE 101
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1275
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Country | US
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Telephone | 805-449-4194
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Fax | 805-497-6144
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD Y HENJYOJI
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Credential | M.D.
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Telephone | 805-494-3656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | C32972
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License Number State | CA
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