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General NPI Number Information
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NPI Number | 1104164995
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Entity Type | Organization
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Legal Business Name | DR. DIRK V. FUJII, OPTOMETRIST INC.
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 579 FARRINGTON HWY SUITE 101
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City | KAPOLEI
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State | HI
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Zip | 96707-2027
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Country | US
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Telephone | 808-674-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 579 FARRINGTON HWY SUITE 101
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City | KAPOLEI
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State | HI
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Zip | 96707-2027
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Country | US
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Telephone | 808-674-8811
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DIRK V. FUJII
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Credential |
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Telephone | 808-674-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | HI #421
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License Number State | HI
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