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General NPI Number Information
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NPI Number | 1417580358
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Entity Type | Organization
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Legal Business Name | MACROPHIL, INC.
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 94-239 WAIPAHU DEPOT ST STE 201A
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City | WAIPAHU
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State | HI
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Zip | 96797-3072
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Country | US
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Telephone | 808-678-9688
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Fax | 808-677-5958
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Provider Business Mailing Address
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Address Line | PO BOX 893123
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City | MILILANI
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State | HI
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Zip | 96789-0123
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Country | US
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Telephone | 808-678-9688
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Fax | 808-677-5958
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ELMER JAO CONSULTA JR.
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Credential |
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Telephone | 808-678-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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