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General NPI Number Information
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NPI Number | 1629143573
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Entity Type | Organization
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Legal Business Name | CHILDREN'S ORTHOPAEDICS OF HAWAII, LLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 98-1247 KAAHUMANU ST STE 122
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City | AIEA
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State | HI
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Zip | 96701-5300
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Country | US
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Telephone | 808-485-8985
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Fax | 808-485-8986
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Provider Business Mailing Address
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Address Line | 98-1247 KAAHUMANU ST STE 122
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City | AIEA
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State | HI
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Zip | 96701-5300
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Country | US
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Telephone | 808-485-8985
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Fax | 808-485-8986
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Authorized Official
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Title or Position | MD
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Name | DR. BYRON IZUKA
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Credential | MD
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Telephone | 808-485-8985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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