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General NPI Number Information
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NPI Number | 1467557660
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Entity Type | Organization
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Legal Business Name | ALOHA CARDIOLOGY LLC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 210 IMI KALA ST STE 209
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City | WAILUKU
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State | HI
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Zip | 96793-1274
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Country | US
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Telephone | 808-242-9912
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Fax | 808-242-9914
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Provider Business Mailing Address
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Address Line | PO BOX 1029
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City | WAILUKU
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State | HI
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Zip | 96793-1029
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Country | US
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Telephone | 808-242-9912
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Fax | 808-242-9914
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Authorized Official
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Title or Position | PHYSICIAN
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Name | PHILLIP A. MILNE
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Credential | M.D.
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Telephone | 808-871-8878
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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 | MD-11315
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License Number State | HI
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