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General NPI Number Information
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NPI Number | 1578948519
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Entity Type | Organization
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Legal Business Name | CASTLE MEDICAL CENTER
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 55-510 KAMEHAMEHA HWY LAIE SUITE 5
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City | LAIE
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State | HI
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Zip | 96762-1119
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Country | US
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Telephone | 808-293-8558
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Fax |
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Provider Business Mailing Address
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Address Line | 640 ULUKAHIKI ST
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City | KAILUA
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State | HI
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Zip | 96734-4454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY NYE
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Credential |
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Telephone | 808-263-5017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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