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General NPI Number Information
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NPI Number | 1881404242
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Entity Type | Organization
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Legal Business Name | DERMSPACE HAWAII LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST STE 1000
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City | HONOLULU
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State | HI
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Zip | 96826-1077
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Country | US
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Telephone | 808-451-3178
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Fax | 808-427-6064
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Provider Business Mailing Address
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Address Line | 1319 PUNAHOU ST STE 1000
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City | HONOLULU
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State | HI
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Zip | 96826-1077
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Country | US
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Telephone | 808-451-3178
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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. KAITLYN YIM
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Credential | MD
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Telephone | 808-451-3178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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