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General NPI Number Information
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NPI Number | 1407819238
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Entity Type | Organization
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Legal Business Name | JIRO SAEGUSA MD INC
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 1904
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City | HONOLULU
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State | HI
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Zip | 96814-4408
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Country | US
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Telephone | 808-946-0990
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Fax | 808-946-4001
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 1904
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City | HONOLULU
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State | HI
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Zip | 96814-4408
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Country | US
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Telephone | 808-946-0990
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Fax | 808-946-4001
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIRO SAEGUSA
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Credential | MD
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Telephone | 808-946-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD2810
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License Number State | HI
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