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General NPI Number Information
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NPI Number | 1841223450
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Entity Type | Individual
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Provider Name | MARINA AQUIRAN BADUA MD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 1712 LILIHA ST SUITE 202
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City | HONOLULU
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State | HI
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Zip | 96817-5410
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Country | US
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Telephone | 808-536-1754
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Fax | 808-536-0315
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Provider Business Mailing Address
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Address Line | 2164 PUNA ST
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City | HONOLULU
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State | HI
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Zip | 96817-1520
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Country | US
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Telephone | 808-478-3400
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD3187
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License Number State | HI
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