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General NPI Number Information
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NPI Number | 1497402812
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Entity Type | Individual
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Provider Name | PAULINE RUTH KAPLAN-STAFFORD D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2022
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1 JARRETT WHITE ROAD
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City | HONOLULU
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone | 808-433-9728
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1354 KILIPUE ST UNIT A
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City | EWA BEACH
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State | HI
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Zip | 96706
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Country | US
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Telephone |
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2969
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License Number State | NE
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