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General NPI Number Information
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NPI Number | 1538587258
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Entity Type | Individual
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Provider Name | TRAVIS THOMPSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 808-538-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 770 KAPIOLANI BLVD STE 705
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City | HONOLULU
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State | HI
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Zip | 96813-5241
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Country | US
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Telephone | 808-597-8799
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0083191
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60857817
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD20379
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License Number State | HI
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