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General NPI Number Information
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NPI Number | 1720270861
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Entity Type | Organization
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Legal Business Name | DOUGLAS R. DAUTERMAN CO., INC
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 250 WARD AVE STE 100
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City | HONOLULU
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State | HI
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Zip | 96814-4007
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Country | US
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Telephone | 808-591-8860
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Fax | 808-591-8869
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Provider Business Mailing Address
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Address Line | 250 WARD AVE STE 100
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City | HONOLULU
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State | HI
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Zip | 96814-4007
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Country | US
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Telephone | 808-591-8860
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Fax | 808-591-8869
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Authorized Official
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Title or Position | OWNER
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Name | RANDY O FLANIGAN
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Credential |
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Telephone | 808-591-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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