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General NPI Number Information
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NPI Number | 1093928657
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Entity Type | Organization
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Legal Business Name | BRADLEY W. SAKAGUCHI M.D., LLC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD BUILDING 7, SUITE 230
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City | HONOLULU
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State | HI
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Zip | 96813-4920
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Country | US
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Telephone | 808-536-9368
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Fax | 808-536-9369
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Provider Business Mailing Address
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Address Line | 500 ALA MOANA BLVD BUILDING 7, SUITE 230
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City | HONOLULU
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State | HI
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Zip | 96813-4920
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Country | US
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Telephone | 808-536-9368
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Fax | 808-536-9369
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. BRADLEY W. SAKAGUCHI
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Credential | M.D.
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Telephone | 808-536-9368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 10052
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License Number State | HI
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