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General NPI Number Information
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NPI Number | 1528283397
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Entity Type | Individual
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Provider Name | GEORGE SHIMOMURA MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 99 128 AIEA HEIGHTS DRIVE SUITE 504
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City | AIEA
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State | HI
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Zip | 96701-3938
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Country | US
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Telephone | 808-487-2497
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Fax | 808-487-2494
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Provider Business Mailing Address
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Address Line | 99 128 AIEA HEIGHTS DRIVE SUITE 504
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City | AIEA
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State | HI
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Zip | 96701-3938
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Country | US
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Telephone | 808-487-2497
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Fax | 808-487-2494
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD1578
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License Number State | HI
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