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General NPI Number Information
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NPI Number | 1073558417
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Entity Type | Organization
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Legal Business Name | KAHALA URGENT CARE INC.
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 09/10/2011
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Provider Practice Location Address
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Address Line | 4218 WAIALAE AVE 106A
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City | HONOLULU
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State | HI
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Zip | 96816-5321
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Country | US
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Telephone | 808-735-0007
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Fax | 808-735-0021
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Provider Business Mailing Address
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Address Line | 4218 WAIALAE AVE A106
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City | HONOLULU
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State | HI
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Zip | 96816-5321
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Country | US
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Telephone | 808-735-0007
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Fax | 808-735-0021
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT P RUGGIERI
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Credential | MD
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Telephone | 808-735-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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