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General NPI Number Information
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NPI Number | 1841373420
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Entity Type | Individual
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Provider Name | MARTINA ANGIULO HARMS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 900 FORT STREET MALL STE 810
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City | HONOLULU
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State | HI
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Zip | 96813-3707
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Country | US
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Telephone | 808-523-5483
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Fax |
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Provider Business Mailing Address
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Address Line | 160 ALALA RD
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City | KAILUA
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State | HI
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Zip | 96734-3125
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Country | US
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Telephone | 202-486-8462
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | AMD-462
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License Number State | HI
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