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General NPI Number Information
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NPI Number | 1275306300
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Entity Type | Organization
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Legal Business Name | ISLAND PACIFIC MEDICAL CENTER
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 416
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City | HONOLULU
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State | HI
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Zip | 96814-4400
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Country | US
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Telephone | 808-375-6638
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 416
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City | HONOLULU
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State | HI
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Zip | 96814-4400
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Country | US
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Telephone | 808-691-9025
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Fax | 808-691-9032
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Authorized Official
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Title or Position | CEO
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Name | DR. ALAN I WU
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Credential | MD
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Telephone | 808-691-9025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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