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General NPI Number Information
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NPI Number | 1841949658
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Entity Type | Individual
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Provider Name | BRANDAN ISAO SAKKA MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2022
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 1520 SAN PABLO ST STE 2000
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City | LOS ANGELES
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State | CA
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Zip | 90033-5322
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Country | US
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Telephone | 323-442-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 45-226 WAIKALUA RD
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City | KANEOHE
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State | HI
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Zip | 96744-3134
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Country | US
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Telephone | 808-392-1899
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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