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1104913946 NPI number — LINDA J. S. ANEGAWA MD

NPI Number: 1104913946
Health Care Provider/Practitioner: LINDA J. S. ANEGAWA MD

Information about “1104913946” NPI (LINDA J. S. ANEGAWA MD) exists in 1104913946 in HTML format HTML  |  1104913946 in plain Text format TXT  |  1104913946 in PDF (Portable Document Format) PDF  |  1104913946 in an XML format XML  formats.

NPI Number : 1104913946 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104913946",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANEGAWA",
    "FirstName": "LINDA",
    "MiddleName": "J. S.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHATTEN",
    "OtherFirstName": "LINDA",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1300 CRANE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MENLO PARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94025-4260",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-498-6770",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1712 LILIHA ST STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96817-3100",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-219-0527",
    "PracticeLocationAddressFaxNumber": "808-913-3824",
    "EnumerationDate": "10/05/2006",
    "LastUpdateDate": "12/16/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A72637",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD-13216",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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