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General NPI Number Information
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NPI Number | 1497783351
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Entity Type | Individual
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Provider Name | KENNETH DOWNARD HERBST M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 86-260 FARRINGTON HWY
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City | WAIANAE
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State | HI
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Zip | 96792-3128
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Country | US
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Telephone | 808-697-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 84-485 FARRINGTON HWY
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City | WAIANAE
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State | HI
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Zip | 96792-1943
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Country | US
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Telephone | 858-405-3279
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | G20622
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G20622
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G20622
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | G20622
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 24582
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License Number State | HI
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