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General NPI Number Information
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NPI Number | 1679687479
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Entity Type | Individual
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Provider Name | YOICHI CHARLEY IMAMURA MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 210 N MAIN ST
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City | LONDON
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State | OH
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Zip | 43140-1115
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Country | US
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Telephone | 740-845-7000
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Fax | 740-845-7701
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Provider Business Mailing Address
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Address Line | 7235 WILTON CHASE
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City | DUBLIN
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State | OH
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Zip | 43017-1268
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Country | US
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Telephone | 937-207-9501
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Fax | 614-407-0511
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35070875
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35070875
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License Number State | OH
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