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General NPI Number Information
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NPI Number | 1255312401
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Entity Type | Individual
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Provider Name | NATHAN P TOMITA D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 75-170 HUALALAI RD STE D216A
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City | KAILUA KONA
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State | HI
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Zip | 96740-1779
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Country | US
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Telephone | 808-313-8338
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Fax | 808-313-8339
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Provider Business Mailing Address
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Address Line | 75-170 HUALALAI RD STE D216A
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City | KAILUA KONA
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State | HI
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Zip | 96740-1779
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Country | US
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Telephone | 808-313-8338
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Fax | 808-313-8339
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5101013860
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DOS1441
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License Number State | HI
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