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General NPI Number Information
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NPI Number | 1184392789
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Entity Type | Organization
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Legal Business Name | STAT PARTNERS LLC
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | 1003 BISHOP ST STE 2700
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City | HONOLULU
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State | HI
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Zip | 96813-6475
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Country | US
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Telephone | 808-824-3774
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 N SHERIDAN RD APT 1306
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City | CHICAGO
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State | IL
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Zip | 60657-5974
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Country | US
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Telephone | 808-824-3760
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. ANTHONY JOSEPH QIAN
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Credential | CPT, CPI
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Telephone | 808-824-3760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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