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General NPI Number Information
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NPI Number | 1235881285
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Entity Type | Individual
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Provider Name | NORIKO TAKEDA APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 459 PATTERSON RD
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City | HONOLULU
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State | HI
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Zip | 96819-1522
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Country | US
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Telephone | 808-835-9562
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2172
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City | KAILUA KONA
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State | HI
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Zip | 96745-2172
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Country | US
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Telephone | 702-321-4254
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Fax |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN-4336-0
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License Number State | HI
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