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General NPI Number Information
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NPI Number | 1013038025
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Entity Type | Organization
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Legal Business Name | RAYMOND K. ITAGAKI, M.D., INC.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 609
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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 | 808-531-5448
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Fax | 808-523-5418
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST SUITE 609
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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 | 808-531-5448
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Fax | 808-523-5418
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CONNIE ITAGAKI
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Credential |
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Telephone | 808-531-5448
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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 | MD3847
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License Number State | HI
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