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General NPI Number Information
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NPI Number | 1023050580
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Entity Type | Organization
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Legal Business Name | HIRO MAKINO MD INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 550 S BERETANIA ST SUITE 401
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City | HONOLULU
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State | HI
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Zip | 96813-2414
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Country | US
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Telephone | 808-223-4889
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Fax | 310-539-1243
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | AIEA
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State | HI
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Zip | 96701-0428
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Country | US
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Telephone | 808-223-4889
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Fax | 310-539-1243
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HIRO MAKINO
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Credential | M.D.
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Telephone | 808-223-4889
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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 | MD5668
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License Number State | HI
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