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General NPI Number Information
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NPI Number | 1639268501
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Entity Type | Organization
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Legal Business Name | YOSHINOBU NAMIHIRA MD PA
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 3000 HALLS FERRY RD
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City | VICKSBURG
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State | MS
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Zip | 39180-4802
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Country | US
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Telephone | 601-638-9800
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Fax | 601-638-9808
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Provider Business Mailing Address
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Address Line | 3000 HALLS FERRY RD
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City | VICKSBURG
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State | MS
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Zip | 39180-4802
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Country | US
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Telephone | 601-638-9800
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Fax | 601-638-9808
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOSHINOBU NAMIHIRA
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Credential | M.D.
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Telephone | 601-638-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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