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General NPI Number Information
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NPI Number | 1629786868
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Entity Type | Organization
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Legal Business Name | MARIA PATTEN D.O., INC.
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST STE 3306
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City | HONOLULU
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State | HI
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Zip | 96813-3313
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Country | US
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Telephone | 808-282-0907
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Fax | 808-356-0963
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | KAILUA
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State | HI
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Zip | 96734-0006
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Country | US
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Telephone | 808-284-4800
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Fax | 808-356-0963
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MARIA B PATTEN
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Credential | DO
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Telephone | 808-284-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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