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General NPI Number Information
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NPI Number | 1871618561
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Entity Type | Organization
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Legal Business Name | NEAL T SHIMODA M D INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 503
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City | HONOLULU
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State | HI
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Zip | 96817-2390
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Country | US
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Telephone | 808-521-9584
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Fax | 808-521-9587
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Provider Business Mailing Address
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Address Line | 321 N KUAKINI ST STE 503
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City | HONOLULU
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State | HI
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Zip | 96817-2390
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Country | US
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Telephone | 808-521-9584
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Fax | 808-521-9587
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEAL T. SHIMODA
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Credential | M.D.
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Telephone | 808-521-9584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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