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General NPI Number Information
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NPI Number | 1487877403
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Entity Type | Individual
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Provider Name | RICK A CARPENTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 111 AUPUNI ST STE 101
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City | HILO
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State | HI
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Zip | 96720
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Country | US
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Telephone | 808-935-2964
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Fax | 808-961-6421
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Provider Business Mailing Address
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Address Line | 111 AUPUNI ST STE 101
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City | HILO
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State | HI
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Zip | 96720-4233
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Country | US
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Telephone | 808-935-2964
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Fax | 808-961-6421
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | DOS-842
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License Number State | HI
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