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General NPI Number Information
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NPI Number | 1699630228
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Entity Type | Organization
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Legal Business Name | PINNIE MEDICAL GROUP PC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1000 AUAHI ST APT 2406
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City | HONOLULU
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State | HI
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Zip | 96814-3365
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Country | US
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Telephone | 808-258-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 AUAHI ST APT 2406
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City | HONOLULU
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State | HI
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Zip | 96814-3365
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAKASHI NAKAMURA
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Credential | MD
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Telephone | 808-258-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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