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General NPI Number Information
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NPI Number | 1750521373
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Entity Type | Organization
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Legal Business Name | ATLANTIC EXPRESS CO INC
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Dates
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Enumeration Date | 02/21/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 1806 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96826-2105
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Country | US
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Telephone | 808-254-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96826-2105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN L THOMPSON
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Credential | MD
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Telephone | 808-990-7464
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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 | 0121215
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License Number State | HI
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