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General NPI Number Information
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NPI Number | 1508696709
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Entity Type | Organization
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Legal Business Name | HONU ANESTHESIA LLC
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Dates
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Enumeration Date | 08/03/2024
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Last Update Date | 08/03/2024
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Provider Practice Location Address
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Address Line | 239 HOOHANA ST
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City | KAHULUI
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State | HI
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Zip | 96732-2452
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Country | US
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Telephone | 808-893-0578
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Fax | 808-893-0580
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Provider Business Mailing Address
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Address Line | 48 KUPALOKE ST
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City | WAILUKU
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State | HI
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Zip | 96793-4114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | MICHELLE RENEE SCANLON
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Credential | MD, DO
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Telephone | 808-707-7745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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