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General NPI Number Information
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NPI Number | 1023322146
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Entity Type | Organization
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Legal Business Name | DOLORES SOLER-BERGAU LLC
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 1 MILL ST
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City | HANA
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State | HI
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Zip | 96713-9997
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Country | US
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Telephone | 808-281-3903
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 711
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City | HANA
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State | HI
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Zip | 96713-0711
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. DOLORES SOLER-BERGAU
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Credential | APRN
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Telephone | 808-281-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | W3621110601
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License Number State | HI
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