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General NPI Number Information
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NPI Number | 1831358159
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Entity Type | Organization
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Legal Business Name | ALOHA UROLOGY, INC.
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 4722 AUKAI AVE
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City | HONOLULU
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State | HI
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Zip | 96816-5207
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Country | US
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Telephone | 808-737-9387
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST STE 506
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City | HONOLULU
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State | HI
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Zip | 96813-2412
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Country | US
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Telephone | 808-599-7779
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARRY B PEERS
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Credential |
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Telephone | 808-599-7779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD-11120
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License Number State | HI
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