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General NPI Number Information
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NPI Number | 1992179683
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Entity Type | Organization
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Legal Business Name | GREGG M YAMADA, MD, INC
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST # 301
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-347-8019
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Fax | 808-532-0414
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST # 301
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-347-8019
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Fax | 808-532-0414
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGG M YAMADA
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Credential | MD
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Telephone | 808-271-2178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD7463
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License Number State | HI
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