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General NPI Number Information
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NPI Number | 1457514432
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Entity Type | Organization
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Legal Business Name | HAWAII HEART AND VASCULAR CENTER
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 809
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-587-8322
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Fax | 808-587-8325
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Provider Business Mailing Address
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Address Line | PO BOX 235889
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City | HONOLULU
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State | HI
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Zip | 96823-3516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID T LEE
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Credential | DO
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Telephone | 808-372-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DOS-777
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License Number State | HI
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