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General NPI Number Information
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NPI Number | 1407893241
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Entity Type | Organization
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Legal Business Name | WESLEY J. SUGAI, M.D., INC.
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 81-990 HALEKII ST SUITE 150
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City | KEALAKEKUA
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State | HI
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Zip | 96750-8155
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Country | US
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Telephone | 808-329-7719
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Fax | 808-329-7518
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Provider Business Mailing Address
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Address Line | 81-990 HALEKII ST SUITE 150
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City | KEALAKEKUA
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State | HI
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Zip | 96750-8155
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Country | US
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Telephone | 808-329-7719
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Fax | 808-329-7518
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Authorized Official
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Title or Position | CORPORATE SECRETARY/ACCOUNTANT
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Name | MRS. PATRICIA SUGAI
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Credential |
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Telephone | 808-329-7719
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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 | MD-5336
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License Number State | HI
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