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General NPI Number Information
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NPI Number | 1295710457
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Entity Type | Organization
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Legal Business Name | R & S ENTERPRISES INC
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 74-5599 LUHIA ST STE G6
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City | KAILUA KONA
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State | HI
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Zip | 96740-1677
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Country | US
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Telephone | 808-329-1351
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Fax | 808-329-5462
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Provider Business Mailing Address
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Address Line | 74-5599 LUHIA ST STE G6
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City | KAILUA KONA
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State | HI
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Zip | 96740-1677
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Country | US
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Telephone | 808-329-1351
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Fax | 808-329-5462
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | PROF. SUZANNE F GILLAM
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Credential | AUD
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Telephone | 808-329-1351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 29
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 20
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License Number State | HI
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