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General NPI Number Information
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NPI Number | 1306998570
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Entity Type | Individual
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Provider Name | RAMONA KEIKO LEE CORSON R.PH, PHARM.D.,
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 MAHALANI STREET KAISER WAILUKU CLINIC
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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 | 808-243-6106
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Fax | 808-243-6630
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Provider Business Mailing Address
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Address Line | 415 DAIRY ROAD SUITE E-143
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City | KAHULUI
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State | HI
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Zip | 96732
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Country | US
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Telephone | 808-242-4044
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Fax | 808-243-6630
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PH - 1115
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH 47849
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP035379L
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License Number State | PA
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