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General NPI Number Information
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NPI Number | 1104916196
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Entity Type | Organization
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Legal Business Name | ANNE A TANABE MD INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 402
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City | HONOLULU
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State | HI
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Zip | 96817-2386
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Country | US
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Telephone | 808-536-7546
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Fax | 808-536-7553
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Provider Business Mailing Address
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Address Line | 321 N KUAKINI ST STE 402
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City | HONOLULU
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State | HI
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Zip | 96817-2386
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Country | US
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Telephone | 808-536-7546
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Fax | 808-536-7553
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Authorized Official
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Title or Position | PRESIDENT, ANNE A TANABE MD INC.
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Name | DR. ANNE A. TANABE
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Credential | M.D.
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Telephone | 808-536-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD11057
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License Number State | HI
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