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General NPI Number Information
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NPI Number | 1760689798
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Entity Type | Organization
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Legal Business Name | GARRET NOGUCHI DPM LLC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST #801
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City | HONOLULU
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State | HI
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Zip | 96817-2364
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Country | US
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Telephone | 808-521-2002
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Fax | 808-521-0351
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Provider Business Mailing Address
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Address Line | 321 N KUAKINI ST #801
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City | HONOLULU
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State | HI
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Zip | 96817-2364
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Country | US
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Telephone | 808-521-2002
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Fax | 808-521-0351
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | WAKA NOGUCHI
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Credential |
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Telephone | 808-521-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO131
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License Number State | HI
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