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General NPI Number Information
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NPI Number | 1013903640
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Entity Type | Individual
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Provider Name | WILLIAM G LANGSTON MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 221 MAHALANI ST
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City | WAILUKU
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State | HI
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Zip | 96793-2526
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Country | US
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Telephone | 808-242-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 MAIN ST #407
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City | WAILUKU
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State | HI
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Zip | 96793-1819
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Country | US
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Telephone | 808-244-5513
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 00026726
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-13539
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License Number State | HI
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