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General NPI Number Information
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NPI Number | 1851590913
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Entity Type | Organization
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Legal Business Name | BENJAMIN V GOZUN III MD INC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 94-216 FARRINGTON HWY SUITE B2-101
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 808-678-0091
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Fax | 808-677-1372
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Provider Business Mailing Address
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Address Line | 94-216 FARRINGTON HWY SUITE B2-101
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 808-678-0091
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Fax | 808-677-1372
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMIN VICTOR GOZUN III
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Credential | M.D.
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Telephone | 808-678-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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