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General NPI Number Information
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NPI Number | 1851573273
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Entity Type | Organization
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Legal Business Name | VALDEN MEDICAL, LLC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 1750 KALAKAUA AVE SUITE 2602
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City | HONOLULU
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State | HI
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Zip | 96826-3766
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Country | US
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Telephone | 808-949-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 KALAKAUA AVE SUITE 2602
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City | HONOLULU
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State | HI
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Zip | 96826-3766
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Country | US
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Telephone | 808-949-4977
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW MEE-LEE
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Credential | J.D.
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Telephone | 808-457-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2779
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4624
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License Number State | HI
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