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General NPI Number Information
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NPI Number | 1518067321
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Entity Type | Organization
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Legal Business Name | NORTH HAWAII INTERNAL MEDICINE LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 67-1125 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8496
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Country | US
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Telephone | 808-882-8412
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Fax | 808-882-8412
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Provider Business Mailing Address
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Address Line | PO BOX 1707
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City | KAMUELA
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State | HI
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Zip | 96743-1707
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Country | US
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Telephone | 808-882-8412
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Fax | 808-882-8412
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Authorized Official
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Title or Position | OFFICER
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Name | RICHARD MILLER
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Credential | MD
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Telephone | 808-882-8412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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