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General NPI Number Information
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NPI Number | 1376635268
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Entity Type | Individual
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Provider Name | MARIA STELLA KALALO BATOL
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 65-1190 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8431
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Country | US
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Telephone | 808-855-4488
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Fax | 808-885-4126
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Provider Business Mailing Address
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Address Line | 45-549 PLUMERIA ST
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City | HONOKAA
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State | HI
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Zip | 96727-6902
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Country | US
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Telephone | 808-885-5448
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Fax | 808-885-4126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10527
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License Number State | HI
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