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General NPI Number Information
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NPI Number | 1346457116
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Entity Type | Individual
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Provider Name | MICHAEL PATRICK MOURI M.D., D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 1744 LILIHA ST SUITE 207
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City | HONOLULU
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State | HI
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Zip | 96817-3115
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Country | US
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Telephone | 808-536-6073
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Fax |
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Provider Business Mailing Address
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Address Line | 1744 LILIHA ST STE 207
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City | HONOLULU
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State | HI
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Zip | 96817-3115
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Country | US
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Telephone | 469-585-1455
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 18734
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | M8095
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 18734
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 18734
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M8095
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18734
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License Number State | AL
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M8095
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License Number State | HI
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Taxonomy #8
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | M8095
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License Number State | HI
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Taxonomy #9
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | 18734
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License Number State | AL
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18734
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License Number State | AL
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