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General NPI Number Information
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NPI Number | 1154638849
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Entity Type | Organization
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Legal Business Name | CHRISTIAN W. BOYENS, M.D. INC.
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 40 AULIKE STREET SUITE # 217
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City | KAILUA
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State | HI
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Zip | 96734-2753
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Country | US
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Telephone | 808-263-1330
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Fax | 808-263-1335
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Provider Business Mailing Address
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Address Line | 40 AULIKE STREET SUITE # 217
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City | KAILUA
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State | HI
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Zip | 96734-2753
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Country | US
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Telephone | 808-263-1330
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Fax | 808-263-1335
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Authorized Official
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Title or Position | SOLO PHYSICIAN CORPORATION/-FAMILY
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Name | MR. CHRISTIAN W BOYENS
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Credential | M.D.
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Telephone | 808-263-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9280
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License Number State | HI
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