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General NPI Number Information
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NPI Number | 1689755704
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Entity Type | Organization
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Legal Business Name | PACIFIC PHYSICAL MEDICINE ASSOCIATES LLP
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 805
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-531-7277
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Fax | 808-531-7207
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST SUITE 608
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City | HONOLULU
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State | HI
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Zip | 96813-2421
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Country | US
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Telephone | 808-531-7277
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Fax | 808-531-7207
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DENNIS M CROWLEY
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Credential | MD
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Telephone | 808-531-7277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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