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General NPI Number Information
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NPI Number | 1366550568
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Entity Type | Organization
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Legal Business Name | CARDIOPULMONARY DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 94-216 FARRINGTON HWY STE B2106
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 808-678-1422
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Fax | 808-678-0111
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Provider Business Mailing Address
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Address Line | 94-216 FARRINGTON HWY STE B2106
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 808-678-1422
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Fax | 808-678-0111
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. REYNOLD L MANABAT
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Credential | RRT CRTT
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Telephone | 808-678-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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