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General NPI Number Information
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NPI Number | 1538160866
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Entity Type | Individual
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Provider Name | NEAL J SHIKUMA M.D., FACC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 65-1230 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8318
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Country | US
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Telephone | 808-887-6410
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Fax | 808-887-6429
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Provider Business Mailing Address
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Address Line | 1425 LILIHA ST SUITE 12
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City | HONOLULU
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State | HI
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Zip | 96817-3522
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Country | US
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Telephone | 808-540-1530
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Fax | 808-356-0424
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-4389
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License Number State | HI
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