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General NPI Number Information
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NPI Number | 1538058615
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Entity Type | Individual
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Provider Name | KIMBERLY RUBY ANDRADE PA (ASCP)
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3288 MOANALUA RD
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City | HONOLULU
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State | HI
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Zip | 96819-1469
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Country | US
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Telephone | 808-432-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 45-622 KEAAHALA RD
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City | KANEOHE
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State | HI
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Zip | 96744-3320
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Country | US
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Telephone | 813-889-7663
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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 | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number |
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License Number State |
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