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General NPI Number Information
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NPI Number | 1588175202
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Entity Type | Organization
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Legal Business Name | BRUCE S. KATSURA MD, INC
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 2228 LILIHA ST STE 401
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City | HONOLULU
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State | HI
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Zip | 96817-1654
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Country | US
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Telephone | 808-547-6262
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Fax | 808-547-6265
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Provider Business Mailing Address
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Address Line | 2228 LILIHA ST STE 401
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City | HONOLULU
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State | HI
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Zip | 96817-1654
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Country | US
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Telephone | 808-547-6262
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Fax | 808-547-6265
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Authorized Official
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Title or Position | OWNER/MD
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Name | DR. BRUCE S KATSURA
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Credential | MD
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Telephone | 808-547-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 8414
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License Number State | HI
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