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NPI 1518045004

NPI 1518045004 : LISA TOKUDA PHARMD : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1518045004
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    Entity Type          |    Individual 
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    Provider Name        |    LISA TOKUDA PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    11/24/2009
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Provider Practice Location Address
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    Address Line         |    459 PATTERSON RD 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96819-1522
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    Country              |    US
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    Telephone            |    808-833-2331
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1488 ALA NAPUNANI ST 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96818-1524
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    Country              |    US
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    Telephone            |    808-833-2331
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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       |    59083
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    License Number State |    CA
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