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General NPI Number Information
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NPI Number | 1942798640
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Entity Type | Organization
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Legal Business Name | KRISTI T LOPEZ MD INC
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 714
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-741-3037
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Fax |
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Provider Business Mailing Address
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Address Line | 321 N KUAKINI ST STE 714
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City | HONOLULU
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State | HI
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Zip | 96817-2362
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Country | US
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Telephone | 808-741-3037
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KRISTI T LOPEZ
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Credential | MD
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Telephone | 808-561-2398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD-16308
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License Number State | HI
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