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General NPI Number Information
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NPI Number | 1912534967
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Entity Type | Individual
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Provider Name | YOSHIKI TAKEYAMA DO
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 270 PARK AVE
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City | HUNTINGTON
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State | NY
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Zip | 11743-2787
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Country | US
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Telephone | 631-351-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 805 SAINT VINCENTS DR STE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1638
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | DO.3689
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License Number State | AL
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