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General NPI Number Information
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NPI Number | 1265462220
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Entity Type | Individual
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Provider Name | JASON C GLIPA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 KAPIOLANI BLVD SUITE 620
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City | HONOLULU
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State | HI
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Zip | 96814-3807
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Country | US
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Telephone | 808-779-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST SUITE 3007
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City | HONOLULU
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State | HI
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Zip | 96813-3312
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Country | US
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Telephone | 808-599-1636
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Fax | 808-599-8612
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD8662
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License Number State | HI
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