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General NPI Number Information
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NPI Number | 1508144833
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Entity Type | Organization
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Legal Business Name | KALANI T YAMAMOTO MD LLC
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 2226 LILIHA ST STE 306
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City | HONOLULU
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State | HI
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Zip | 96817-1605
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Country | US
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Telephone | 808-531-5711
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Fax | 808-531-5722
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Provider Business Mailing Address
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Address Line | 2226 LILIHA ST STE 306
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City | HONOLULU
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State | HI
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Zip | 96817-1605
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Country | US
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Telephone | 808-531-5711
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Fax | 808-531-5722
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KALANI T YAMAMOTO
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Credential | MD
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Telephone | 808-531-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD14418
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License Number State | HI
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