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General NPI Number Information
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NPI Number | 1083035844
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Entity Type | Organization
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Legal Business Name | DENNIS H. WACHI MD LLC
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 505
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City | HONOLULU
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State | HI
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Zip | 96814-4403
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Country | US
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Telephone | 808-941-2111
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Fax | 808-943-0324
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 505
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City | HONOLULU
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State | HI
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Zip | 96814-4403
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Country | US
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Telephone | 808-941-2111
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Fax | 808-943-0324
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Authorized Official
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Title or Position | OWNER
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Name | DENNIS HIROSHI WACHI
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Credential | M.D.
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Telephone | 808-941-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2742
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License Number State | HI
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