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General NPI Number Information
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NPI Number | 1063643070
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Entity Type | Organization
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Legal Business Name | THOMAS K L LAU MD INC
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 820 MILILANI ST 702A
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City | HONOLULU
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State | HI
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Zip | 96813-2993
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Country | US
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Telephone | 808-523-9363
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Fax | 808-523-9418
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Provider Business Mailing Address
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Address Line | 550 S BERETANIA ST 605
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City | HONOLULU
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State | HI
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Zip | 96813-2414
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Country | US
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Telephone | 808-523-9363
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Fax | 808-523-9418
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Authorized Official
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Title or Position | BILLER
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Name | ARLENE SALVADOR
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Credential |
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Telephone | 808-523-9363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD816
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License Number State | HI
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