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General NPI Number Information
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NPI Number | 1780804153
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL VANLANGEVELD AND ASSOCIATES
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 1050 ALA MOANA BLVD STE A8 WARD WAREHOUSE
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City | HONOLULU
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State | HI
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Zip | 96814-4979
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Country | US
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Telephone | 808-591-6601
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Fax | 808-591-0137
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Provider Business Mailing Address
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Address Line | 1050 ALA MOANA BLVD STE1325 WARD WAREHOUSE
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City | HONOLULU
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State | HI
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Zip | 96814-4979
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Country | US
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Telephone | 808-591-6601
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Fax | 808-591-0137
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Authorized Official
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Title or Position | OTOMETRIST OWNER
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Name | DR. MICHAEL VANLANGEVELD
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Credential | O.D.
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Telephone | 808-591-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 401
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License Number State | HI
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