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General NPI Number Information
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NPI Number | 1831364843
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Entity Type | Individual
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Provider Name | TAMARA KOLLAROVA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 226 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2488
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Country | US
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Telephone | 808-544-3362
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Fax |
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Provider Business Mailing Address
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Address Line | 226 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2488
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Country | US
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Telephone | 808-544-3362
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 233634
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17167
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 245719
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License Number State | MA
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