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NPI 1730216938

NPI 1730216938 : NELSON O YOSHIOKA JR OD INC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1730216938
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    Entity Type          |    Organization 
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    Legal Business Name  |    NELSON O YOSHIOKA JR OD INC 
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Dates
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    Enumeration Date     |    02/27/2007
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    Last Update Date     |    06/04/2008
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Provider Practice Location Address
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    Address Line         |    1123 11TH AVE #203
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96816-2433
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    Country              |    US
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    Telephone            |    808-734-7050
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    Fax                  |    808-734-8897
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Provider Business Mailing Address
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    Address Line         |    1123 11TH AVE #203
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96816-2433
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    Country              |    US
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    Telephone            |    808-734-7050
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    Fax                  |    808-734-8897
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Authorized Official
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    Title or Position    |    DR
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    Name                 |     NELSON O YOSHIOKA JR.
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    Credential           |    OD
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    Telephone            |    808-734-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OD219
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    License Number State |    HI
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