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General NPI Number Information
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NPI Number | 1336301944
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Entity Type | Individual
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Provider Name | NENITA P. BALA-ALBANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 94-366 PUPUPANI ST STE 118
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City | WAIPAHU
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State | HI
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Zip | 96797-2644
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Country | US
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Telephone | 808-676-0865
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Fax | 808-676-1970
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Provider Business Mailing Address
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Address Line | PO BOX 970749
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City | WAIPAHU
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State | HI
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Zip | 96797-0749
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Country | US
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Telephone | 808-927-1551
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44853
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD19892
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License Number State | HI
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