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General NPI Number Information
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NPI Number | 1114005675
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Entity Type | Individual
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Provider Name | CATHERINE JEAN KUROSU M.D., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 417 ULUNIU ST SUITE G
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City | KAILUA
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State | HI
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Zip | 96734-2551
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Country | US
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Telephone | 808-366-3985
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Fax | 808-441-5993
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Provider Business Mailing Address
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Address Line | 417 ULUNIU ST SUITE G
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City | KAILUA
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State | HI
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Zip | 96734-2551
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Country | US
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Telephone | 808-366-3985
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Fax | 808-441-5993
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C50972
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD-15815
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License Number State | HI
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