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1912066317 NPI number — LIANE NALANI CASUGA OD

NPI Number: 1912066317
Health Care Provider/Practitioner: LIANE NALANI CASUGA OD

Information about “1912066317” NPI (LIANE NALANI CASUGA OD) exists in 1912066317 in HTML format HTML  |  1912066317 in plain Text format TXT  |  1912066317 in PDF (Portable Document Format) PDF  |  1912066317 in an XML format XML  formats.

NPI Number : 1912066317 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912066317",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASUGA",
    "FirstName": "LIANE",
    "MiddleName": "NALANI",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAYASHI",
    "OtherFirstName": "LIANE",
    "OtherMiddleName": "NALANI",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1020 AOLOA PLACE",
    "SecondLineMailingAddress": "#205A",
    "MailingAddressCityName": "KAILUA",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96734",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-263-9704",
    "MailingAddressFaxNumber": "808-263-9706",
    "FirstLinePracticeLocationAddress": "95 550 LANIKUHANA AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILILANI",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96789",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-623-0702",
    "PracticeLocationAddressFaxNumber": "808-623-9677",
    "EnumerationDate": "12/08/2006",
    "LastUpdateDate": "07/03/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "268",
        "LicenseNumberStateCode": "HI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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