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General NPI Number Information
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NPI Number | 1720006810
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Entity Type | Individual
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Provider Name | JON STEVEN YAMAGUCHI MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 550 S BERETANIA ST SUITE 403
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City | HONOLULU
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State | HI
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Zip | 96813-2414
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Country | US
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Telephone | 808-523-5033
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Fax | 808-528-4713
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Provider Business Mailing Address
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Address Line | 550 S BERETANIA ST SUITE 403
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City | HONOLULU
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State | HI
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Zip | 96813-2414
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Country | US
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Telephone | 808-523-5033
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Fax | 808-528-4713
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 056250
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 042-0011342
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 17065
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License Number State | HI
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