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General NPI Number Information
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NPI Number | 1598863839
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Entity Type | Individual
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Provider Name | GARY KIMOTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST STE 801
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City | HONOLULU
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State | HI
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Zip | 96826-1032
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Country | US
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Telephone | 808-203-6580
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Fax | 808-951-1637
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Provider Business Mailing Address
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Address Line | PO BOX 25668
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City | HONOLULU
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State | HI
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Zip | 96825-0668
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Country | US
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Telephone | 808-536-0314
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Fax | 808-536-0320
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 3800
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License Number State | HI
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