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General NPI Number Information
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NPI Number | 1386714962
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Entity Type | Organization
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Legal Business Name | HAWAII DIAGNOSTIC RADIOLOGY SERVICES LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 1481 S KING ST SUITE 202
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City | HONOLULU
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State | HI
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Zip | 96814-2506
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Country | US
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Telephone | 808-949-0091
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Fax | 808-957-0005
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Provider Business Mailing Address
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Address Line | 1481 S KING ST SUITE 210
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City | HONOLULU
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State | HI
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Zip | 96814-2506
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Country | US
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Telephone | 808-949-0091
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Fax | 808-957-0005
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY K.C. YEOH
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Credential | M.D.
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Telephone | 808-949-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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