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General NPI Number Information
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NPI Number | 1407749112
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Entity Type | Organization
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Legal Business Name | TADA ANESTHESIA SERVICES
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 94-673 KUPUOHI ST STE C205
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City | WAIPAHU
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State | HI
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Zip | 96797-5373
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Country | US
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Telephone | 808-725-0125
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37452
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City | HONOLULU
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State | HI
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Zip | 96837-0452
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Country | US
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Telephone | 808-725-0125
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | DR. TROY TADA
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Credential | DO
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Telephone | 808-725-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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