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General NPI Number Information
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NPI Number | 1649463639
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Entity Type | Organization
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Legal Business Name | HAWAII ENDOCRINE ASSOCIATES LLC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 24 N CHURCH ST SUITE 403
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City | WAILUKU
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State | HI
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Zip | 96793-1680
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Country | US
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Telephone | 808-242-5856
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Fax | 808-242-5949
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Provider Business Mailing Address
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Address Line | 415 DAIRY RD SUITE E-438
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City | KAHULUI
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State | HI
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Zip | 96732-2312
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Country | US
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Telephone | 808-242-5856
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Fax | 808-242-5949
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TII PETER HANSEN
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Credential | M.D.
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Telephone | 808-242-5856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 6493
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License Number State | HI
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