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General NPI Number Information
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NPI Number | 1770572919
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Entity Type | Individual
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Provider Name | THOMAS E HENRY MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 98-084 KAMEHAMEHA HWY SUITE 301B
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City | AIEA
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State | HI
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Zip | 96701-5160
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Country | US
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Telephone | 808-486-4900
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Fax | 808-486-4901
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Provider Business Mailing Address
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Address Line | P.O. BOX 700309
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City | KAPOLEI
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State | HI
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Zip | 96709-0309
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Country | US
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Telephone | 808-203-7943
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Fax | 808-693-8060
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD8901
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License Number State | HI
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