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General NPI Number Information
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NPI Number | 1619461225
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Entity Type | Individual
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Provider Name | KATHARINE A LASLEY DO
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3-3420 KUHIO HWY
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City | LIHUE
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State | HI
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Zip | 96766-1042
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Country | US
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Telephone | 808-245-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3-3420 KUHIO HWY
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City | LIHUE
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State | HI
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Zip | 96766-1042
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Country | US
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Telephone | 808-245-1000
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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 | R-11300
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License Number State | IA
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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 | 12218092-1204
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DOS-2401
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0070487
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License Number State | CO
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