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General NPI Number Information
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NPI Number | 1639609068
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Entity Type | Individual
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Provider Name | JUDY KO APRN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 6230
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City | HONOLULU
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State | HI
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Zip | 96813-4929
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Country | US
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Telephone | 808-524-6115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 750033
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City | ATLANTA
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State | GA
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Zip | 30374-7833
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Country | US
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Telephone | 855-963-2100
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN-2279
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-2279
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-2279
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License Number State | HI
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