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General NPI Number Information
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NPI Number | 1457181257
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Entity Type | Organization
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Legal Business Name | JW RS PEDIATRICS LLC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/17/2024
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 607
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City | HONOLULU
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State | HI
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Zip | 96814-4403
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Country | US
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Telephone | 808-947-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 MONSARRAT AVE STE 200
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City | HONOLULU
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State | HI
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Zip | 96815-4488
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Country | US
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Telephone | 808-722-2181
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Fax | 808-734-5923
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JOSEPH WARD
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Credential | MD
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Telephone | 808-349-5639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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