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General NPI Number Information
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NPI Number | 1902969223
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Entity Type | Individual
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Provider Name | SHELLEY K KIKUCHI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2828 PAA ST STE 3030
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City | HONOLULU
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State | HI
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Zip | 96819-4430
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Country | US
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Telephone | 808-286-7629
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Fax |
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Provider Business Mailing Address
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Address Line | 98-1661 APALA LOOP
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City | AIEA
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State | HI
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Zip | 96701-1705
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Country | US
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Telephone |
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Fax |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 3508
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License Number State | HI
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