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General NPI Number Information
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NPI Number | 1619273554
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Entity Type | Organization
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Legal Business Name | MHD ENTERPRISES, INC
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 79-1019 HAUKAPILA ST
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City | KEALAKEKUA
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State | HI
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Zip | 96750-7920
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Country | US
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Telephone | 808-322-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 83-5762 MAMALAHOA HWY
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City | CAPTAIN COOK
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State | HI
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Zip | 96704-8306
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Country | US
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Telephone | 808-345-4833
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELLE HUBER DAGDAG
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Credential | MD
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Telephone | 808-345-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD9886
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License Number State | HI
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