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General NPI Number Information
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NPI Number | 1043403975
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Entity Type | Organization
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Legal Business Name | MARIA A MARKARIAN DO FACC INC
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 25 MALUNIU AVE STE 201
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City | KAILUA
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State | HI
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Zip | 96734-5807
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Country | US
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Telephone | 808-261-2441
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Fax | 808-261-2447
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Provider Business Mailing Address
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Address Line | 25 MALUNIU AVE STE 201
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City | KAILUA
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State | HI
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Zip | 96734-5807
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Country | US
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Telephone | 808-261-2441
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Fax | 808-261-2447
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA ANN MARKARIAN
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Credential | DO
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Telephone | 808-261-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DOS 1162
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License Number State | HI
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