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General NPI Number Information
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NPI Number | 1831294990
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Entity Type | Organization
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Legal Business Name | RONALD PEROFF MD INC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE 910
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City | HONOLULU
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State | HI
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Zip | 96813-2448
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Country | US
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Telephone | 808-529-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST STE 910
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City | HONOLULU
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State | HI
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Zip | 96813-2448
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Country | US
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Telephone | 808-536-0300
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Fax | 808-536-0320
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD PEROFF
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Credential | M.D.
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Telephone | 808-529-1033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2307
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License Number State | HI
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