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General NPI Number Information
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NPI Number | 1295787299
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Entity Type | Individual
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Provider Name | DIPANJAN BANERJEE MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 550 S BERETANIA ST STE 610
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City | HONOLULU
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State | HI
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Zip | 96813-2496
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Country | US
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Telephone | 808-691-8512
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Fax |
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Provider Business Mailing Address
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Address Line | 2733 PUUHONUA ST
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City | HONOLULU
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State | HI
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Zip | 96822-1763
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Country | US
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Telephone |
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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 | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | MD-19900
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-19900
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 101573-875
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License Number State | WI
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