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General NPI Number Information
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NPI Number | 1053388769
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Entity Type | Individual
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Provider Name | SUSAN MARIE RINALDI WELDON PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 94-235 HANAWAI CIR SUITE 1B
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City | WAIPAHU
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State | HI
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Zip | 96797-3029
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Country | US
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Telephone | 808-671-0090
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Fax | 808-671-5376
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Provider Business Mailing Address
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Address Line | 92-1246 KALEO PL
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City | KAPOLEI
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State | HI
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Zip | 96707-1535
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Country | US
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Telephone | 808-672-7246
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | AMD-224
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA14515
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License Number State | CA
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