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General NPI Number Information
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NPI Number | 1851358915
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Entity Type | Individual
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Provider Name | ROBERT H OZAKI D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 320 LENNON LN
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2419
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Country | US
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Telephone | 925-532-4392
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 HARRISON ST 7TH FLOOR
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City | OAKLAND
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State | CA
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Zip | 94612-3429
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Country | US
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Telephone | 510-625-5356
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 20A8665
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License Number State | CA
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