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General NPI Number Information
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NPI Number | 1770887465
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Entity Type | Organization
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Legal Business Name | AULELEI MEDICAL LLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 315A MARIANAS BUSINESS PLAZA SUITE 315A
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-235-7314
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 321 BOX 10001
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-235-7314
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Fax | 670-235-7317
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Authorized Official
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Title or Position | CEO
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Name | DR. DELINDA DEMITA WILLS
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Credential | M.D.
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Telephone | 670-235-7314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0485
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License Number State | MP
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