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General NPI Number Information
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NPI Number | 1184989030
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Entity Type | Organization
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Legal Business Name | NESTOR I.C. DEL ROSARIO MD INC.
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 12/24/2013
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Provider Practice Location Address
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Address Line | 94-939 KAHUAILANI ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3326
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Country | US
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Telephone | 808-671-5681
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Fax | 808-671-5276
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Provider Business Mailing Address
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Address Line | 94-939 KAHUAILANI ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3326
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Country | US
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Telephone | 808-671-5681
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Fax | 808-671-5276
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NESTOR ISIDRO CONCEPCION DEL ROSARIO
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Credential | M.D.
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Telephone | 808-671-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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