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General NPI Number Information
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NPI Number | 1649451899
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Entity Type | Individual
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Provider Name | DR. NOZOMU YAMAUCHI
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Gender | Male
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 820
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-955-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 820
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8415
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2334
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License Number State | HI
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