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General NPI Number Information
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NPI Number | 1154888014
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Entity Type | Organization
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Legal Business Name | PACIFIC VASCULAR ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 99-115 AIEA HEIGHTS DR STE 246
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City | AIEA
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State | HI
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Zip | 96701-3914
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Country | US
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Telephone | 314-973-9571
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Fax | 808-486-5558
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Provider Business Mailing Address
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Address Line | 98-1079 MOANALUA RD STE 620
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City | AIEA
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State | HI
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Zip | 96701-4716
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Country | US
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Telephone | 808-486-7775
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Fax | 808-486-5558
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KAREN STRONG
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Credential |
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Telephone | 314-973-9571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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