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General NPI Number Information
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NPI Number | 1356423974
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Entity Type | Organization
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Legal Business Name | LANAI COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 628 SEVENTH STREET
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City | LANAI
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State | HI
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Zip | 96763
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Country | US
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Telephone | 808-565-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 628 SEVENTH STREET
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City | LANAI
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State | HI
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Zip | 96763
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Country | US
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Telephone | 808-565-6411
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Fax |
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Authorized Official
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Title or Position | ADMINISTRAITOR
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Name | MR. JOHN SCHAUMBURG
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Credential |
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Telephone | 808-565-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 43-N
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License Number State | HI
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