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General NPI Number Information
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NPI Number | 1851389365
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Entity Type | Organization
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Legal Business Name | THE QUEENS MEDICAL CENTER - PROGRESSIVE CARE UNIT
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-538-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-538-9011
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT & CAO
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Name | PAULA YOSHIOKA
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Credential |
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Telephone | 808-537-7996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 31-N
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License Number State | HI
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