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General NPI Number Information
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NPI Number | 1770635906
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Entity Type | Individual
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Provider Name | DONNA IBUYAN RPH
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 910 WAINEE ST
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City | LAHAINA
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State | HI
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Zip | 96761-1622
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Country | US
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Telephone | 808-662-6945
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Fax | 808-662-6940
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Provider Business Mailing Address
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Address Line | PO BOX 880642
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City | PUKALANI
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State | HI
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Zip | 96788-0642
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Country | US
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Telephone | 808-662-6945
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Fax | 808-662-6940
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH-2367
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH-0123
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License Number State | GU
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