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General NPI Number Information
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NPI Number | 1033276209
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Entity Type | Individual
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Provider Name | MAGDY A METTIAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 94-300 FARRINGTON HWY # E-06
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City | WAIPAHU
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State | HI
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Zip | 96797-2648
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Country | US
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Telephone | 808-671-1988
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Fax | 808-677-0555
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Provider Business Mailing Address
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Address Line | 94-300 FARRINGTON HWY # E-06
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City | WAIPAHU
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State | HI
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Zip | 96797-2648
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Country | US
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Telephone | 808-671-1988
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Fax | 808-677-0555
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD-7466
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-7466
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License Number State | HI
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