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General NPI Number Information
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NPI Number | 1750691580
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Entity Type | Organization
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Legal Business Name | NEAL T. MIYASAKI, MD, APC
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 3838 CALIFORNIA ST # 409
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1522
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Country | US
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Telephone | 415-387-7800
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Fax | 415-387-0743
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Provider Business Mailing Address
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Address Line | 3838 CALIFORNIA ST # 409
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1522
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Country | US
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Telephone | 415-387-7800
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Fax | 415-387-0743
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. NEAL T. MIYASAKI
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Credential | M.D.
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Telephone | 415-387-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | G27668
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License Number State | CA
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