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General NPI Number Information
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NPI Number | 1770826638
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Entity Type | Individual
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Provider Name | MASAYUKI FUJIHASHI DN, ATC
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 5701 N SHERIDAN RD #11C
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City | CHICAGO
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State | IL
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Zip | 60660-4771
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Country | US
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Telephone | 312-841-9445
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 N SHERIDAN RD #11C
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City | CHICAGO
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State | IL
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Zip | 60660-4771
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Country | US
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Telephone | 312-841-9445
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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 | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181.000369
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 096.001899
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License Number State | IL
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