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General NPI Number Information
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NPI Number | 1538569124
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Entity Type | Individual
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Provider Name | LUISA OGAWA NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 55 MAUI LANI PKWY
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City | WAILUKU
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State | HI
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Zip | 96793-2416
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Country | US
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Telephone | 808-243-6681
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Fax | 808-243-6689
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Provider Business Mailing Address
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Address Line | 94 KUUKAMA ST
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City | KAHULUI
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State | HI
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Zip | 96732-3132
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Country | US
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Telephone | 808-269-4682
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Fax | 808-873-6040
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN1780
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License Number State | HI
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