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General NPI Number Information
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NPI Number | 1821543554
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Entity Type | Organization
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Legal Business Name | JASON PIRGA, MD LLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 848 S BERETANIA ST STE 408
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City | HONOLULU
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State | HI
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Zip | 96813-2551
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Country | US
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Telephone | 808-728-3114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 426
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City | AIEA
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State | HI
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Zip | 96701-0426
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Country | US
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Telephone | 808-728-3114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON LEE PIRGA
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Credential | M.D.
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Telephone | 808-728-3114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-16519
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD-16519
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License Number State | HI
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