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General NPI Number Information
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NPI Number | 1639545528
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Entity Type | Individual
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Provider Name | CHRISTOPHER DUBUQUE
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Gender | Male
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1135 11TH AVE
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City | HONOLULU
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State | HI
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Zip | 96816-2408
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Country | US
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Telephone | 808-888-0005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 700127
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City | KAPOLEI
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State | HI
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Zip | 96709-0127
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Country | US
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Telephone | 808-888-0005
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Fax | 808-480-8781
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DOS-1992
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 177803
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License Number State | OR
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