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General NPI Number Information
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NPI Number | 1861637860
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Entity Type | Organization
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Legal Business Name | THE QUEEN'S MEDICAL CENTER
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 12/05/2008
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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 | 808-547-4311
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Fax | 808-537-7871
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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 | 808-547-4311
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Fax | 808-537-7871
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Authorized Official
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Title or Position | APRN
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Name | MS. JOANN MARIE MCDERMOTT
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Credential | APRN-BC, ACNP
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Telephone | 256-810-7029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | APRN-1146
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License Number State | HI
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