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General NPI Number Information
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NPI Number | 1407568751
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Entity Type | Organization
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Legal Business Name | DR. ROGER PALMER
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 640 ULUKAHIKI ST
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City | KAILUA
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State | HI
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Zip | 96734-4454
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Country | US
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Telephone | 808-263-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 S KING ST STE 205
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City | HONOLULU
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State | HI
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Zip | 96814-1703
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Country | US
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Telephone | 808-600-9034
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Fax | 808-593-2243
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Authorized Official
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Title or Position | A/R SPECIALIST
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Name | MS. BRIA FRAZIER
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Credential |
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Telephone | 808-600-9034
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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 |
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License Number State |
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