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General NPI Number Information
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NPI Number | 1346300845
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Entity Type | Organization
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Legal Business Name | RODNEY M KAZAMA MD INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | QUEENS POB I 1380 LUSITANA ST 409
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City | HONOLULU
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State | HI
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Zip | 96813-2440
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Country | US
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Telephone | 808-526-0033
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Fax | 808-526-0034
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Provider Business Mailing Address
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Address Line | QUEENS POB I 1380 LUSITANA ST 409
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City | HONOLULU
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State | HI
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Zip | 96813-2440
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Country | US
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Telephone | 808-526-0033
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Fax | 808-526-0034
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Authorized Official
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Title or Position | OWNER
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Name | RODNEY MITSUO KAZAMA
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Credential | MD
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Telephone | 808-526-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4802
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License Number State | HI
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