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General NPI Number Information
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NPI Number | 1235183815
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Entity Type | Individual
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Provider Name | LESLIE S.H. POON O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 1221 KAPIOLANI BLVD SUITE 120
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City | HONOLULU
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State | HI
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Zip | 96814-3503
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Country | US
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Telephone | 808-596-4445
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Fax | 808-596-4479
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Provider Business Mailing Address
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Address Line | 1221 KAPIOLANI BLVD SUITE 120
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City | HONOLULU
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State | HI
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Zip | 96814-3503
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Country | US
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Telephone | 808-596-4445
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Fax | 808-596-4479
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 313
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License Number State | HI
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