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General NPI Number Information
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NPI Number | 1518054824
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Entity Type | Individual
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Provider Name | RANDOLPH DALE NEAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 1601 PUNAHOU ST
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City | HONOLULU
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State | HI
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Zip | 96822-3336
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Country | US
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Telephone | 808-295-4340
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Fax | 808-373-8846
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Provider Business Mailing Address
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Address Line | PO BOX 10804
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City | HONOLULU
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State | HI
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Zip | 96816-0804
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Country | US
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Telephone | 808-295-4340
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Fax | 808-373-8846
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD3839
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License Number State | HI
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