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General NPI Number Information
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NPI Number | 1669305629
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Entity Type | Individual
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Provider Name | NEIL CHARLES WILLIAMSON
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Gender | Male
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 92-8635 MAILE DR
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City | CAPTAIN COOK
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State | HI
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Zip | 96704
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Country | US
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Telephone | 808-430-9436
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7238
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City | OCEAN VIEW
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State | HI
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Zip | 96737-7238
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Country | US
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Telephone | 808-943-0943
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | R-3834
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License Number State | HI
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