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General NPI Number Information
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NPI Number | 1083133045
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Entity Type | Individual
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Provider Name | MAILE N. MIKI OD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 95-550 LANIKUHANA AVE
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City | MILILANI
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State | HI
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Zip | 96789-1783
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Country | US
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Telephone | 808-623-0702
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 NUUANU AVE APT 2110
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City | HONOLULU
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State | HI
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Zip | 96817-4028
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Country | US
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Telephone | 808-285-1325
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 866
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License Number State | HI
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