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General NPI Number Information
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NPI Number | 1235262114
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Entity Type | Organization
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Legal Business Name | CASTLE MEDICAL CENTER
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 640 ULUKAHIKI ST INPATIENT PHARMACY
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City | KAILUA
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State | HI
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Zip | 96734
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Country | US
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Telephone | 808-263-5192
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Fax | 808-263-5408
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Provider Business Mailing Address
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Address Line | 640 ULUKAHIKI ST INPATIENT PHARMACY
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City | KAILUA
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State | HI
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Zip | 96734-4454
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Country | US
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Telephone | 808-263-5192
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Fax | 808-263-5408
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MR. DOUGLAS DUNCAN
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Credential | RPH
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Telephone | 808-263-5192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY197
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | PHY-197
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License Number State | HI
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