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General NPI Number Information
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NPI Number | 1164048005
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Entity Type | Organization
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Legal Business Name | OCULOFACIAL PLASTIC SURGERY OF HAWAII INC
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE 912
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City | HONOLULU
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State | HI
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Zip | 96813-2448
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Country | US
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Telephone | 808-888-9981
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Fax | 808-468-4753
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Provider Business Mailing Address
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Address Line | PO BOX 1300
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City | HONOLULU
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State | HI
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Zip | 96807-1300
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Country | US
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Telephone | 808-888-9981
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BRADFORD W LEE
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Credential | MD
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Telephone | 808-888-9981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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