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General NPI Number Information
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NPI Number | 1841618048
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Entity Type | Organization
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Legal Business Name | KENNETH M. SUNAMOTO, M.D., INC
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 813
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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 | 808-524-5225
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Fax | 808-524-5227
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Provider Business Mailing Address
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Address Line | 321 N KUAKINI ST STE 813
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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 | 808-524-5225
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Fax | 808-524-5227
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | KENNETH MITSUO SUNAMOTO
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Credential | M.D.
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Telephone | 808-524-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 2505
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License Number State | HI
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