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General NPI Number Information
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NPI Number | 1023150406
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Entity Type | Organization
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Legal Business Name | JULIE ANN H LEE HORITA MD LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 98-1247 KAAHUMANU STREET SUITE 311
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City | AIEA
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State | HI
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Zip | 96701
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Country | US
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Telephone | 808-487-7210
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Fax | 808-486-8771
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Provider Business Mailing Address
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Address Line | 98-1247 KAAHUMANU STREET SUITE 311
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City | AIEA
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State | HI
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Zip | 96701
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Country | US
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Telephone | 808-487-7210
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Fax | 808-486-8771
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Authorized Official
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Title or Position | MD
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Name | DR. JULIE ANN HEE LEE HORITA
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Credential |
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Telephone | 808-487-7210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 10694
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License Number State | HI
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