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General NPI Number Information
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NPI Number | 1104400019
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Entity Type | Organization
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Legal Business Name | QUANTUM HEALTH HAWAII LLC
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 82-1195 GREENWELL MTN RD
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City | CAPTAIN COOK
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State | HI
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Zip | 96704-0433
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Country | US
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Telephone | 808-494-0342
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 433
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City | CAPTAIN COOK
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State | HI
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Zip | 96704-0433
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Country | US
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Telephone | 808-494-0342
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN SINGLETON
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Credential | MD
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Telephone | 808-494-0342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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