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General NPI Number Information
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NPI Number | 1003246513
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Entity Type | Individual
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Provider Name | KATIE AKIKO AZAMA NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 4211 WAIALAE AVE
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City | HONOLULU
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State | HI
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Zip | 96816-5319
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Country | US
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Telephone | 808-732-0784
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 HAWAII KAI DR APT 193
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City | HONOLULU
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State | HI
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Zip | 96825-3186
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Country | US
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Telephone | 808-256-3382
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1675
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License Number State | HI
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