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General NPI Number Information
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NPI Number | 1407057300
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Entity Type | Individual
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Provider Name | RACHEL LEE MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1356 LUSITANA STREET
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City | HONOLULU
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State | HI
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Zip | 96813-2427
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Country | US
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Telephone | 180-055-8463
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 MOTT-SMITH DR
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City | HONOLULU
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State | HI
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Zip | 96822-2509
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Country | US
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Telephone |
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDR5028
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License Number State | HI
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