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NPI 1639210784

NPI 1639210784 : JOSEPH KOHN : WAILUKU, HI

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General NPI Number Information
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    NPI Number           |    1639210784
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH KOHN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/10/2007
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    Last Update Date     |    02/03/2020
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Provider Practice Location Address
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    Address Line         |    493 PIO DR APT 209 
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793-2641
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    Country              |    US
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    Telephone            |    808-359-6605
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    493 PIO DR APT 209 
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793-2641
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    Country              |    US
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    Telephone            |    808-359-6605
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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       |    023842
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    License Number State |    GA
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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       |    155403
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    License Number State |    NY
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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       |    16432
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    License Number State |    HI
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