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General NPI Number Information
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NPI Number | 1598320509
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Entity Type | Organization
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Legal Business Name | QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 550 S BERETANIA ST STE 503
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City | HONOLULU
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State | HI
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Zip | 96813-2496
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Country | US
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Telephone | 808-691-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 PUNCHBOWL ST # 208
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-691-4600
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE SECRETARY
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Name | KATRINA MATEO
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Credential |
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Telephone | 808-691-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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