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General NPI Number Information
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NPI Number | 1447519293
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Entity Type | Organization
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Legal Business Name | JOEY Y. KOHATSU, M.D., LLC
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST STE 303
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City | HONOLULU
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State | HI
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Zip | 96813-2411
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Country | US
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Telephone | 808-807-0311
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Fax | 808-807-0322
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST STE 303
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City | HONOLULU
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State | HI
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Zip | 96813-2411
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Country | US
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Telephone | 808-807-0311
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Fax | 808-807-0322
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | JOEY YOSHIO KOHATSU
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Credential | MD
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Telephone | 808-807-0311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 15549
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15549
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License Number State | HI
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