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General NPI Number Information
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NPI Number | 1487612206
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Entity Type | Individual
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Provider Name | KEANE HUNG MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 2230 LILIHA ST
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City | HONOLULU
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State | HI
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Zip | 96817-1646
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Country | US
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Telephone | 800-893-9698
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Fax |
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Provider Business Mailing Address
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Address Line | 4070 BLACK POINT RD
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City | HONOLULU
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State | HI
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Zip | 96816-4816
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Country | US
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Telephone | 866-253-8895
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 13412
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License Number State | HI
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