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General NPI Number Information
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NPI Number | 1326245515
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Entity Type | Organization
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Legal Business Name | ISLAND TELEMEDICINE INC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 4643 WAIMEA CANYON DRIVE
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City | WAIMEA
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State | HI
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Zip | 96796
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Country | US
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Telephone | 808-338-9240
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 683
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City | WAIMEA
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State | HI
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Zip | 96796-0683
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Country | US
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Telephone | 808-338-9240
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Fax |
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | DR. JAMES W MCGEE
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Credential | MD
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Telephone | 808-338-9240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | MD-13919
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License Number State | HI
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