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General NPI Number Information
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NPI Number | 1285746388
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Entity Type | Individual
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Provider Name | THOMAS IWASHITA D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 46-001 KAMEHAMEHA HWY SUITE 310
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City | KANEOHE
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State | HI
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Zip | 96744-3711
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Country | US
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Telephone | 808-247-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1122 KEPAKEPA ST
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City | WAIPAHU
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State | HI
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Zip | 96797-4239
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Country | US
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Telephone | 808-671-7188
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-492
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5539
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License Number State | AZ
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