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General NPI Number Information
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NPI Number | 1174834956
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Entity Type | Organization
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Legal Business Name | JANE B. HERNANDEZ-ING, M.D., INC.
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 642 ULUKAHIKI ST SUITE 211
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City | KAILUA
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State | HI
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Zip | 96734-4400
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Country | US
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Telephone | 808-261-0765
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Fax | 808-262-5636
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Provider Business Mailing Address
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Address Line | 642 ULUKAHIKI ST SUITE 211
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City | KAILUA
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State | HI
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Zip | 96734-4400
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Country | US
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Telephone | 808-261-0765
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Fax | 808-262-5636
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANE B HERNANDEZ-ING
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Credential | M.D.
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Telephone | 808-261-0765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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