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General NPI Number Information
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NPI Number | 1194875955
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Entity Type | Individual
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Provider Name | ELIZABETH A. CATANZARO M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 81-6587 MAMALAHOA HWY # C201
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City | KEALAKEKUA
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State | HI
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Zip | 96750-8133
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Country | US
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Telephone | 808-323-3107
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Fax | 808-323-0012
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Provider Business Mailing Address
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Address Line | PO BOX 2060
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City | KEALAKEKUA
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State | HI
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Zip | 96750-2060
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Country | US
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Telephone | 808-323-3107
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Fax | 808-323-0012
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD13471
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License Number State | HI
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