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General NPI Number Information
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NPI Number | 1538237466
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Entity Type | Organization
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Legal Business Name | CARMEN K STANKO MD INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST SUITE 814
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City | HONOLULU
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State | HI
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Zip | 96813-2421
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Country | US
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Telephone | 808-521-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST SUITE 814
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City | HONOLULU
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State | HI
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Zip | 96813-2421
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Country | US
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Telephone | 808-521-3802
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Fax | 808-521-1738
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CARMEN STANKO
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Credential | M.D.
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Telephone | 808-521-3802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4913
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License Number State | HI
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