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General NPI Number Information
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NPI Number | 1356412944
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Entity Type | Individual
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Provider Name | LETICIA GARCIA DINIEGA MD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 91-2139 FORT WEAVER RD STE 201
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City | EWA BEACH
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State | HI
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Zip | 96706-3608
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Country | US
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Telephone | 808-678-0878
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Fax | 808-678-0818
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Provider Business Mailing Address
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Address Line | 91-2139 FORT WEAVER RD STE 201
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City | EWA BEACH
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State | HI
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Zip | 96706-3608
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Country | US
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Telephone | 808-678-0878
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Fax | 808-678-0818
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD9169
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License Number State | HI
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