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General NPI Number Information
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NPI Number | 1215128210
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Entity Type | Organization
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Legal Business Name | KEITH K. ABE, MD, LLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST STE 999
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City | HONOLULU
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State | HI
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Zip | 96826-1077
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Country | US
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Telephone | 808-947-1402
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Fax | 808-941-9304
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Provider Business Mailing Address
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Address Line | 1319 PUNAHOU ST STE 999
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City | HONOLULU
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State | HI
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Zip | 96826-1077
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Country | US
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Telephone | 808-947-1402
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Fax | 808-941-9304
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEITH K ABE
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Credential | M.D.
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Telephone | 808-947-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD-12767
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | MD-12767
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License Number State | HI
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