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General NPI Number Information
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NPI Number | 1629338165
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Entity Type | Organization
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Legal Business Name | ACUTE CARE CLINIC, INC.
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 78-6831 ALII DR STE 169
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City | KAILUA KONA
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State | HI
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Zip | 96740-4409
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Country | US
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Telephone | 808-322-2750
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Fax | 808-322-2995
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Provider Business Mailing Address
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Address Line | PO BOX 390932
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City | KEAUHOU
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State | HI
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Zip | 96739-0932
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Country | US
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Telephone | 808-322-2750
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Fax | 808-322-2995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAMBERT K LEE LOY
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Credential | M.D.
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Telephone | 808-322-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD4705
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License Number State | HI
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