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General NPI Number Information
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NPI Number | 1851059760
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Entity Type | Organization
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Legal Business Name | WORKCOMP HAWAII LLC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 50 S BERETANIA ST STE C201A-1
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City | HONOLULU
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State | HI
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Zip | 96813-2208
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Country | US
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Telephone | 808-772-4995
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Fax | 808-206-9800
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Provider Business Mailing Address
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Address Line | 1007 IKENA CIR
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City | HONOLULU
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State | HI
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Zip | 96821-2557
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Country | US
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Telephone | 808-226-3267
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANKLIN ICHIRO IZUTA
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Credential | MD
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Telephone | 808-226-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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