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General NPI Number Information
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NPI Number | 1033328679
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Entity Type | Organization
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Legal Business Name | MING ZU JACK HSIEH, MD, INC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 01/23/2011
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Provider Practice Location Address
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Address Line | 405 N KUAKINI ST SUITE 607
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City | HONOLULU
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State | HI
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Zip | 96817-6300
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Country | US
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Telephone | 808-599-8887
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Fax | 808-599-8879
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Provider Business Mailing Address
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Address Line | 405 N KUAKINI ST SUITE 607
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City | HONOLULU
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State | HI
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Zip | 96817-6300
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Country | US
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Telephone | 808-599-8887
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Fax | 808-599-8879
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | JACK MZ HSIEH
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Credential | MD
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Telephone | 808-599-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD 10608
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License Number State | HI
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