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General NPI Number Information
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NPI Number | 1346486941
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Entity Type | Organization
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Legal Business Name | PULMONARY CLINIC OF HAWAII INC
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 846 S HOTEL ST STE 102
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City | HONOLULU
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State | HI
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Zip | 96813-2583
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Country | US
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Telephone | 808-536-2031
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Fax | 808-536-2033
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Provider Business Mailing Address
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Address Line | 820 MILILANI ST STE 702A
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City | HONOLULU
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State | HI
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Zip | 96813-2993
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Country | US
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Telephone | 808-523-9363
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Fax | 808-523-9418
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Authorized Official
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Title or Position | OWNER
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Name | ROY S ADANIYA
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Credential | MD
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Telephone | 808-536-2031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD 1806
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License Number State | HI
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