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General NPI Number Information
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NPI Number | 1255718516
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Entity Type | Organization
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Legal Business Name | MD24 HI, INC.
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 400 7 WATERFRONT PLAZA
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 623-374-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 14780 W MOUNTAIN VIEW BLVD. SUITE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-374-7774
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Fax | 888-990-2617
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Authorized Official
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Title or Position | CEO
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Name | LINH C NGUYEN
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Credential | MD
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Telephone | 623-374-7774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | 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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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