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General NPI Number Information
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NPI Number | 1639573439
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Entity Type | Organization
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Legal Business Name | DR. YUMI ISHIHARA, MD MEDICAL INCORPORATION
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 17220 COLLINS ST.
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City | ENCINO
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State | CA
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Zip | 91316
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Country | US
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Telephone | 626-390-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 17220 COLLINS ST
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City | ENCINO
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State | CA
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Zip | 91316-1438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YUMI ISHIHARA
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Credential |
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Telephone | 626-390-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A115576
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License Number State | CA
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