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General NPI Number Information
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NPI Number | 1588807556
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Entity Type | Individual
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Provider Name | SYKI DUONG WELLS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 3288 MOANALUA RD
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City | HONOLULU
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State | HI
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Zip | 96819-1469
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Country | US
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Telephone | 808-432-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3288 MOANALUA RD
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City | HONOLULU
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State | HI
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Zip | 96819-1469
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Country | US
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Telephone | 808-432-0000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50725
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD041239
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD-18131
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License Number State | HI
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