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General NPI Number Information
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NPI Number | 1487041307
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Entity Type | Organization
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Legal Business Name | PACIFIC DIABETES AND ENDOCRINE CENTER INC
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 405 N KUAKINI ST STE 601
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City | HONOLULU
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State | HI
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Zip | 96817-6302
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Country | US
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Telephone | 808-526-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 405 N KUAKINI ST STE 601
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City | HONOLULU
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State | HI
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Zip | 96817-6302
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Country | US
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Telephone | 808-526-0303
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Fax | 808-536-8836
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Authorized Official
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Title or Position | MEDICAL DRECTOR
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Name | DR. ALAN PARSA
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Credential | MD
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Telephone | 808-526-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 14910
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License Number State | HI
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