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General NPI Number Information
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NPI Number | 1972985588
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Entity Type | Individual
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Provider Name | JAYSON TAKEJI MASAKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 100 KAHELU AVE STE 232
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City | MILILANI
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State | HI
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Zip | 96789-3962
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Country | US
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Telephone | 808-207-9800
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Fax | 725-215-9036
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Provider Business Mailing Address
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Address Line | 100 KAHELU AVE STE 232
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City | MILILANI
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State | HI
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Zip | 96789-3962
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Country | US
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Telephone | 808-207-9800
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Fax | 725-215-9036
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 125066569
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License Number State | IL
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