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General NPI Number Information
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NPI Number | 1790923878
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Entity Type | Organization
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Legal Business Name | DONALD K. MARUYAMA, M.D., INC.
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 321 N. KUAKINI ST. STE. 814
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City | HONOLULU
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State | HI
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Zip | 96817-2362
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Country | US
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Telephone | 808-531-0502
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Fax | 808-545-4662
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Provider Business Mailing Address
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Address Line | 321 N. KUAKINI ST. STE. 814
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City | HONOLULU
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State | HI
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Zip | 96817-2362
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Country | US
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Telephone | 808-531-0502
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Fax | 808-545-4662
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD KAY MARUYAMA SR.
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Credential | M.D.
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Telephone | 808-531-0502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 951
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License Number State | HI
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