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NPI 1629572623

NPI 1629572623 : MICHAEL MURAYAMA : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1629572623
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL MURAYAMA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2018
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    Last Update Date     |    08/05/2021
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Provider Practice Location Address
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    Address Line         |    1301 PUNCHBOWL ST 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-2499
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    Country              |    US
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    Telephone            |    808-691-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1301 PUNCHBOWL ST 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-2499
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    Country              |    US
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    Telephone            |    808-691-1000
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    Fax                  |    
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    MD-21928
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    License Number State |    HI
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