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General NPI Number Information
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NPI Number | 1467558023
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Entity Type | Individual
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Provider Name | MAUREEN O.J.C. CHANG TAKAHASHI M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST
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City | HONOLULU
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State | HI
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Zip | 96826-1001
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Country | US
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Telephone | 808-983-8641
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Fax | 808-983-6937
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Provider Business Mailing Address
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Address Line | 1319 PUNAHOU ST
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City | HONOLULU
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State | HI
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Zip | 96826-1001
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Country | US
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Telephone | 808-983-8641
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Fax | 808-983-6937
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD-8421
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License Number State | HI
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