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General NPI Number Information
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NPI Number | 1700077807
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Entity Type | Organization
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Legal Business Name | KAMERON M SLATEN MD LLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-538-9011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1840
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City | KAILUA KONA
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State | HI
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Zip | 96745-1840
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Country | US
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Telephone | 808-325-6760
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | KAMERON M SLATEN
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Credential | MD
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Telephone | 808-358-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD12501
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License Number State | HI
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