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General NPI Number Information
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NPI Number | 1295989408
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Entity Type | Individual
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Provider Name | SCOTT HAL SMITH P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 84 N CHURCH ST STE 206
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 808-281-7477
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Fax | 808-646-7383
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Provider Business Mailing Address
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Address Line | 711 KAPIOLANI BLVD STE 500
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City | HONOLULU
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State | HI
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Zip | 96813-5255
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Country | US
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Telephone | 808-941-3363
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Fax | 808-949-0483
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | AMD-331
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4221
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License Number State | AZ
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