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General NPI Number Information
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NPI Number | 1720066061
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Entity Type | Individual
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Provider Name | JAMES J MATSUDA MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 2200 TYDD ST
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City | EUREKA
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State | CA
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Zip | 95501-1284
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Country | US
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Telephone | 707-441-1624
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 TYDD ST
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City | EUREKA
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State | CA
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Zip | 95501-1284
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 33426
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9078
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A61200
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License Number State | CA
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