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General NPI Number Information
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NPI Number | 1700490414
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY ASSOCIATES OF MAUI, LLC
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 161 WAILEA IKE PL STE A104
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City | KIHEI
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State | HI
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Zip | 96753-6502
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Country | US
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Telephone | 808-757-6106
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Fax | 866-397-2741
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Provider Business Mailing Address
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Address Line | 161 WAILEA IKE PL STE A104
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City | KIHEI
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State | HI
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Zip | 96753-6502
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Country | US
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Telephone | 808-757-6106
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Fax | 866-397-2741
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Authorized Official
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Title or Position | CEO/PARTNER
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Name | BETHANY ANN DILLEY
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Credential |
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Telephone | 808-283-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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