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General NPI Number Information
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NPI Number | 1730277716
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Entity Type | Organization
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Legal Business Name | EMMA B AVILLA, MD, INC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 1728 DILLINGHAM BLVD
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City | HONOLULU
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State | HI
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Zip | 96819
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Country | US
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Telephone | 808-842-1585
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Fax | 808-847-6951
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Provider Business Mailing Address
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Address Line | 1728 DILLINGHAM BLVD
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City | HONOLULU
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State | HI
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Zip | 96819-4017
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Country | US
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Telephone | 808-842-1585
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Fax | 808-847-6951
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMMA B AVILLA
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Credential | MD
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Telephone | 808-842-1585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD10202
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License Number State | HI
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