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General NPI Number Information
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NPI Number | 1790890564
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Entity Type | Individual
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Provider Name | YOSHIYUKI SHIRATORI MS, ATC, CSCS, CKTP
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 4000 S ROSE AVE
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City | OXNARD
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State | CA
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Zip | 93033-6699
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Country | US
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Telephone | 805-986-5800
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Fax | 805-986-5934
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Provider Business Mailing Address
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Address Line | 5813 ETIWANDA AVE
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City | TARZANA
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State | CA
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Zip | 91356-2473
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Country | US
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Telephone | 818-578-3228
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Fax | 805-986-5934
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CA
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