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General NPI Number Information
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NPI Number | 1952612061
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Entity Type | Individual
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Provider Name | ANGELA SAULEEN YIP KING M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 3660 WAIALAE AVE STE 208
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City | HONOLULU
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State | HI
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Zip | 96816-3257
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Country | US
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Telephone | 808-375-4470
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 25722
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City | HONOLULU
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State | HI
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Zip | 96825-0722
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Country | US
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Telephone | 808-375-4470
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD - 17034
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License Number State | HI
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