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General NPI Number Information
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NPI Number | 1306044011
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Entity Type | Organization
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Legal Business Name | JOYCE H CASSEN MD
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 850 WEST HIND DRIVE # 212
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City | HONOLULU
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State | HI
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Zip | 96821-1845
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Country | US
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Telephone | 808-373-4522
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Fax |
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Provider Business Mailing Address
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Address Line | 850 W HIND DR # 212
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City | HONOLULU
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State | HI
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Zip | 96821-1845
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE CASSEN
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Credential | M.D.
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Telephone | 808-373-4522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 05332
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License Number State | HI
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