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General NPI Number Information
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NPI Number | 1487962155
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Entity Type | Organization
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Legal Business Name | MEREDITH K.L. PANG, M.D., INC.
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 1834 NUUANU AVE 105
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City | HONOLULU
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State | HI
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Zip | 96817-2427
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Country | US
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Telephone | 808-537-2932
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Fax |
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Provider Business Mailing Address
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Address Line | 1834 NUUANU AVE STE 105
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City | HONOLULU
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State | HI
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Zip | 96817-2427
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Country | US
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Telephone | 808-537-2932
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Fax | 808-537-2932
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEREDITH KWOCK PANG
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Credential | M..D.
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Telephone | 808-537-2932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD-01966
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License Number State | HI
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