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General NPI Number Information
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NPI Number | 1417632712
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Entity Type | Individual
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Provider Name | ALEX MARINAS HORTON FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 351 ELLIOTT ST
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City | HONOLULU
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State | HI
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Zip | 96819-1817
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Country | US
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Telephone | 808-834-4200
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Fax | 808-838-4506
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Provider Business Mailing Address
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Address Line | 92-2180 OPALIPALI ST
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City | KAPOLEI
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State | HI
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Zip | 96707-3770
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Country | US
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Telephone | 808-230-5694
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-3064
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License Number State | HI
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