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General NPI Number Information
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NPI Number | 1821054412
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Entity Type | Organization
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Legal Business Name | HAWAII ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2226 LILIHA STREET SUITE 407
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-531-5823
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Fax | 808-531-5819
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Provider Business Mailing Address
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Address Line | PO BOX 29960
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City | HONOLULU
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State | HI
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Zip | 96820
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Country | US
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Telephone | 800-362-9772
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Fax | 425-637-4646
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Authorized Official
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Title or Position | MEMBER OF OWNER
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Name | SCOTT B HALLIDAY
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Credential |
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Telephone | 800-362-9772
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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 |
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License Number State |
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