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General NPI Number Information
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NPI Number | 1558708560
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Entity Type | Organization
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Legal Business Name | CHERYL E. AYABE, O.D., INC.
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 1280 S KIHEI RD STE 204
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City | KIHEI
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State | HI
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Zip | 96753-8240
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Country | US
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Telephone | 808-879-7788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | KIHEI
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State | HI
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Zip | 96753-0190
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Country | US
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Telephone | 808-879-7788
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERYL MILANIO
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Credential | O.D.
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Telephone | 808-879-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 247
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License Number State | HI
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