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Individual
DR. COLLEEN T TANAKA
Active
Individual
DR. COLLEEN T TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-751
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000212050
HMSA PROVIDER #
HI
01
—
55630
MEDICARE GROUP #
HI
Enumeration date
10/02/2006
Last updated
10/07/2014
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