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General NPI Number Information
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NPI Number | 1467645770
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Entity Type | Organization
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Legal Business Name | ERNEST K. OSHIRO
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 1255 NUUANU AVE STE C102
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City | HONOLULU
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State | HI
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Zip | 96817-4018
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Country | US
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Telephone | 808-533-3236
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Fax | 808-524-3194
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Provider Business Mailing Address
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Address Line | 1255 NUUANU AVE STE C102
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City | HONOLULU
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State | HI
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Zip | 96817-4018
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Country | US
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Telephone | 808-533-3236
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Fax | 808-524-3194
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ERNEST KIYOSHI OSHIRO
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Credential | O.D.
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Telephone | 808-533-3236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 230D
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License Number State | HI
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