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General NPI Number Information
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NPI Number | 1174679443
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Entity Type | Organization
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Legal Business Name | HAWAII RADIOLOGIC ASSOCIATES, LTD.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 670 PONAHAWAI ST. SUITE 110
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City | HILO
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State | HI
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Zip | 96720
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Country | US
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Telephone | 808-933-2540
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Fax | 808-961-9236
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Provider Business Mailing Address
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Address Line | 688 KINOOLE ST. SUITE 103
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City | HILO
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State | HI
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Zip | 96720
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Country | US
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Telephone | 808-935-1825
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Fax | 808-935-8362
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STACEY AGUIAR
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Credential |
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Telephone | 808-935-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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