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General NPI Number Information
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NPI Number | 1912023656
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Entity Type | Individual
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Provider Name | RANDY S TANIGUCHI NNP
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST
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City | HONOLULU
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State | HI
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Zip | 96826-1001
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Country | US
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Telephone | 808-983-8671
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Fax | 808-983-6382
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Provider Business Mailing Address
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Address Line | 2712A PALI HWY
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City | HONOLULU
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State | HI
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Zip | 96817-1428
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Country | US
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Telephone | 808-595-5283
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 438
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License Number State | HI
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