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General NPI Number Information
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NPI Number | 1831226240
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Entity Type | Organization
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Legal Business Name | TSUYOSHI INOSHITA MD INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 916 11TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3411
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Country | US
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Telephone | 740-353-4884
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Fax | 740-353-8798
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Provider Business Mailing Address
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Address Line | 916 11TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3411
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Country | US
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Telephone | 740-353-4884
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Fax | 740-353-8798
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. RHONDA LYNN BURKE
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Credential |
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Telephone | 740-353-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35055111
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License Number State | OH
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