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NPI 1265902555

NPI 1265902555 : LIANA TSURUKO KOBAYASHI DO, MPH : WAIPAHU, HI

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General NPI Number Information
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    NPI Number           |    1265902555
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    Entity Type          |    Individual 
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    Provider Name        |    LIANA TSURUKO KOBAYASHI DO, MPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/28/2018
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    Last Update Date     |    01/23/2025
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Provider Practice Location Address
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    Address Line         |    94-1211 FARRINGTON HWY BLDG AA 
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    City                 |    WAIPAHU
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    State                |    HI
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    Zip                  |    96797-3205
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    Country              |    US
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    Telephone            |    808-835-6244
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    Fax                  |    808-678-9644
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Provider Business Mailing Address
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    Address Line         |    94-1211 FARRINGTON HWY BLDG AA 
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    City                 |    WAIPAHU
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    State                |    HI
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    Zip                  |    96797-3205
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    Country              |    US
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    Telephone            |    808-835-6244
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    Fax                  |    808-678-9644
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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        |    204D00000X
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    Taxonomy Name        |    Neuromusculoskeletal Medicine & OMM Physician
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    License Number       |    DOS-2427-0
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DOSR-503
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    34.016481
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DOS-2427-0
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    License Number State |    HI
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