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General NPI Number Information
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NPI Number | 1851010268
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Entity Type | Organization
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Legal Business Name | REID S. HAMAMOTO M.D., LLC
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/27/2022
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Provider Practice Location Address
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Address Line | 2040 NUUANU AVE APT 1506
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City | HONOLULU
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State | HI
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Zip | 96817-2514
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Country | US
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Telephone | 808-299-0071
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Fax | 888-592-2998
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Provider Business Mailing Address
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Address Line | 942 ALA LEHUA ST
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City | HONOLULU
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State | HI
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Zip | 96818-2302
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Country | US
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Telephone | 808-299-0071
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Fax | 888-592-2998
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Authorized Official
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Title or Position | OWNER
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Name | DR. REID HAMAMOTO
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Credential | MD
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Telephone | 808-299-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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