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General NPI Number Information
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NPI Number | 1508183823
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Entity Type | Organization
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Legal Business Name | GREG K SAKAMOTO MD LLC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 550 S BERETANIA ST STE 603
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City | HONOLULU
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State | HI
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Zip | 96813-2414
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Country | US
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Telephone | 808-447-7454
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Fax | 808-447-7456
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Provider Business Mailing Address
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Address Line | 550 S BERETANIA ST STE 603
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City | HONOLULU
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State | HI
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Zip | 96813-2414
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Country | US
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Telephone | 808-447-7454
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Fax | 808-447-7456
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | GREG K SAKAMOTO
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Credential | MD
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Telephone | 808-447-7454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD-14900
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License Number State | HI
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