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General NPI Number Information
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NPI Number | 1821159765
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Entity Type | Individual
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Provider Name | DONNA ELISE PRATT M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 1132 BISHOP ST. SUITE #1110
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 808-537-1164
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Fax | 808-537-1174
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Provider Business Mailing Address
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Address Line | 1132 BISHOP ST. SUITE #1110
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 808-537-1164
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Fax | 808-537-1174
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 036052546
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 01042194A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD-15819
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License Number State | HI
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