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General NPI Number Information
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NPI Number | 1346660636
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Entity Type | Organization
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Legal Business Name | HAWAII CELLULAR THERAPY AND TRANSPLANT LABORATORY
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 2230 LILIHA ST
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City | HONOLULU
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State | HI
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Zip | 96817-1646
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Country | US
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Telephone | 808-547-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 PUNAHOU ST CARE OF HAWAII CORD BLOOD BANK
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City | HONOLULU
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State | HI
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Zip | 96826-1001
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Country | US
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Telephone | 808-547-6127
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | MICHAEL CECKA
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Credential | PH.D.
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Telephone | 808-547-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CL-107
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License Number State | HI
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