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General NPI Number Information
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NPI Number | 1891740809
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Entity Type | Individual
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Provider Name | EMILIO A GANITANO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2230 LILIHA ST CRITICAL CARE DEPT.
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City | HONOLULU
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State | HI
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Zip | 96817-1646
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Country | US
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Telephone | 808-781-2241
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Fax | 808-949-0483
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Provider Business Mailing Address
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Address Line | 1585 KAPIOLANI BLVD SUITE 1800
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City | HONOLULU
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State | HI
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Zip | 96814-4522
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Country | US
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Telephone | 808-941-3363
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Fax | 808-949-0483
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD12864
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD12864
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License Number State | HI
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