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General NPI Number Information
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NPI Number | 1376661520
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Entity Type | Organization
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Legal Business Name | HOSANNA LLC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 81-6587 MAMALAHOA HWY C201
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City | KEALAKEKUA
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State | HI
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Zip | 96750-8133
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Country | US
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Telephone | 808-323-3107
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Fax | 808-323-0012
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Provider Business Mailing Address
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Address Line | 81-6587 MAMALAHOA HWY # C201 P O BOX 2060
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City | KEALAKEKUA
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State | HI
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Zip | 96750-8133
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Country | US
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Telephone | 808-323-3107
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A ARTHURS
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Credential | D.O.
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Telephone | 808-323-3107
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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 | DOS959
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License Number State | HI
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