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General NPI Number Information
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NPI Number | 1508469008
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Entity Type | Individual
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Provider Name | DENIZ A BICAKCI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 1120 MAKAWAO AVE
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City | MAKAWAO
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State | HI
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Zip | 96768-9448
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Country | US
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Telephone | 808-573-9966
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Fax | 808-573-8819
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Provider Business Mailing Address
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Address Line | 2515 PUUOMALEI RD
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City | HAIKU
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State | HI
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Zip | 96708-6037
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Country | US
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Telephone | 808-276-8167
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH-4510
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License Number State | HI
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