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General NPI Number Information
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NPI Number | 1386854545
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Entity Type | Individual
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Provider Name | REID HAMAMOTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 4-885 KUHIO HWY # A1
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City | KAPAA
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State | HI
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Zip | 96746-2702
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Country | US
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Telephone | 888-594-0049
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Fax | 888-592-2998
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Provider Business Mailing Address
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Address Line | 4-831 KUHIO HWY STE 438 PMB 331
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City | KAPAA
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State | HI
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Zip | 96746-1578
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Country | US
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Telephone | 888-594-0049
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Fax | 888-592-2998
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 14097
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License Number State | HI
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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 | 14097
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License Number State | HI
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