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General NPI Number Information
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NPI Number | 1639327869
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Entity Type | Organization
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Legal Business Name | ADVANCED REPRODUCTIVE MEDICINE AND GYNECOLOGY OF HAWAII, INC.
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 1585 KAPIOLANI BLVD STE 1800
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City | HONOLULU
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State | HI
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Zip | 96814-4500
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Country | US
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Telephone | 808-545-2800
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Fax | 808-262-3744
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Provider Business Mailing Address
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Address Line | 1585 KAPIOLANI BLVD STE 1800
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City | HONOLULU
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State | HI
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Zip | 96814-4500
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Country | US
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Telephone | 808-545-2800
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Fax | 808-262-3744
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DENIS SALLE
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Credential | MA., MBA
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Telephone | 808-255-9442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | W9930065101
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 261QA0006X
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Taxonomy Name | Ambulatory Fertility Facility
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License Number |
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License Number State |
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