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General NPI Number Information
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NPI Number | 1447436548
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Entity Type | Organization
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Legal Business Name | GREGORY W SCHMIDT MD LLC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE 604
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City | HONOLULU
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State | HI
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Zip | 96813-2442
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Country | US
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Telephone | 808-523-2020
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Fax | 808-523-2030
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Provider Business Mailing Address
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Address Line | 1585 KAPIOLANI BLVD SUITE 1800
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City | HONOLULU
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State | HI
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Zip | 96814-4522
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Country | US
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Telephone | 808-941-3363
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Fax | 808-949-0483
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Authorized Official
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Title or Position | SOLE MEMBER/PHYSICIAN
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Name | DR. GREGORY WILLIAM SCHMIDT
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Credential | M.D.
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Telephone | 808-523-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-14326
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License Number State | HI
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