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General NPI Number Information
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NPI Number | 1316248438
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Entity Type | Organization
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Legal Business Name | RONALD O LEE M D INC
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 303
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-521-8388
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Fax | 808-521-8389
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST SUITE 303
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-521-8388
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Fax | 808-521-8389
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | RONALD O LEE
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Credential | M.D.
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Telephone | 808-521-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4061
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License Number State | HI
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