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General NPI Number Information
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NPI Number | 1720260748
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Entity Type | Organization
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Legal Business Name | MARK T KANEMORI MD LLC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 347 N KUAKINI ST RADIATION THERAPY DEPT
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City | HONOLULU
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State | HI
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Zip | 96817-2336
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Country | US
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Telephone | 808-547-9548
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Fax | 808-547-9718
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Provider Business Mailing Address
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Address Line | 1585 KAPIOLANI BLVD SUITE 1800
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City | HONOLULU
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State | HI
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Zip | 96814-4522
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Country | US
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Telephone | 808-941-3363
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Fax | 808-949-0483
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK T KANEMORI
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Credential | MD
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Telephone | 808-547-9548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD9435
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License Number State | HI
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