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General NPI Number Information
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NPI Number | 1376658799
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE/PEDIATRIC ASSOC., LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 405 N KUAKINI ST STE 1103
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City | HONOLULU
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State | HI
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Zip | 96817-6301
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Country | US
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Telephone | 808-596-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 405 N KUAKINI ST STE 1103
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City | HONOLULU
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State | HI
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Zip | 96817-6301
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Country | US
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Telephone | 808-596-7791
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CLAUDINE K.Y. KIMURA
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Credential | M.D.
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Telephone | 808-596-7791
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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