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NPI 1346611100

NPI 1346611100 : HAWAII MOBILE AUDIOLOGY & HEARING AIDS : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1346611100
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAWAII MOBILE AUDIOLOGY & HEARING AIDS 
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Dates
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    Enumeration Date     |    10/19/2015
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    Last Update Date     |    10/20/2015
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Provider Practice Location Address
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    Address Line         |    1800 KAIOO DRIVE C504
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96815-5830
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    Country              |    US
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    Telephone            |    808-951-4327
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1800 KAIOO DRIVE C504
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96815-5830
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    Country              |    US
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    Telephone            |    808-951-4327
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/AUDIOLOGIST
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    Name                 |     ANNABEL P ANAE 
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    Credential           |    
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    Telephone            |    808-951-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AUD 35
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    License Number State |    HI
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