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NPI 1336014083

NPI 1336014083 : MH PRIMARY CARE PLUS : HILO, HI

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General NPI Number Information
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    NPI Number           |    1336014083
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    Entity Type          |    Organization 
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    Legal Business Name  |    MH PRIMARY CARE PLUS 
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Dates
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    Enumeration Date     |    10/10/2025
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    73 PUUHONU PL STE 101 
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    City                 |    HILO
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    State                |    HI
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    Zip                  |    96720-2060
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    Country              |    US
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    Telephone            |    808-733-5111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    73 PUUHONU PL STE 101 
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    City                 |    HILO
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    State                |    HI
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    Zip                  |    96720-2060
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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    |    PHYSICIAN
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    Name                 |    DR. THOMAS  WEINER 
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    Credential           |    MD
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    Telephone            |    706-424-3542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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