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General NPI Number Information
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NPI Number | 1497641443
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Entity Type | Individual
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Provider Name | SUZETTE GUILLERMO TIANGCO RN, CDCES
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE B-5
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City | HONOLULU
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State | HI
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Zip | 96813-2449
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Country | US
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Telephone | 808-691-4823
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Fax | 808-691-5399
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Provider Business Mailing Address
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Address Line | 1706 NOE ST
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City | HONOLULU
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State | HI
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Zip | 96819-3852
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Country | US
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Telephone | 808-636-5052
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 32309949
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License Number State | HI
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