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General NPI Number Information
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NPI Number | 1720113871
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Entity Type | Individual
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Provider Name | MICHAEL J ROUNDS PT
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 1010 S KING ST SUITE 703
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City | HONOLULU
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State | HI
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Zip | 96814-1701
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Country | US
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Telephone | 808-593-9522
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Fax | 808-596-7882
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Provider Business Mailing Address
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Address Line | 1209 ALOHA OE DRIVE
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City | KAILUA
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State | HI
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Zip | 96734-4503
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Country | US
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Telephone | 808-263-2121
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Fax | 808-262-9699
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 666
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License Number State | HI
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