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General NPI Number Information
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NPI Number | 1780272229
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Entity Type | Individual
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Provider Name | SUSAN YOSHIKO FUJITA MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 888 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96813-3097
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Country | US
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Telephone | 808-225-0984
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Fax |
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Provider Business Mailing Address
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Address Line | 95-1177 MAKAIKAI ST APT 149
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City | MILILANI
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State | HI
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Zip | 96789-5322
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Country | US
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Telephone | 808-225-0984
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Fax | 808-522-4274
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-400
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License Number State | HI
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