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General NPI Number Information
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NPI Number | 1275844631
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Entity Type | Organization
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Legal Business Name | LESLIE Y ITO MD INC
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 1380 LUSITANA STREET SUITE 912
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City | HONOLULU
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State | HI
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Zip | 96813-2448
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Country | US
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Telephone | 808-524-5980
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Fax | 808-526-0317
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA STREET SUITE 912
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City | HONOLULU
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State | HI
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Zip | 96813-2448
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Country | US
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Telephone | 808-524-5980
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Fax | 808-526-0317
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Authorized Official
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Title or Position | R.N.
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Name | NATALIE N. HANAI
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Credential |
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Telephone | 808-524-5980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 3849
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License Number State | HI
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