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General NPI Number Information
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NPI Number | 1861823031
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Entity Type | Organization
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Legal Business Name | KULA HOSPITAL
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 100 KEOKEA PL
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City | KULA
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State | HI
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Zip | 96790-7450
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Country | US
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Telephone | 808-878-1221
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Fax | 808-876-4438
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Provider Business Mailing Address
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Address Line | 100 KEOKEA PL
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City | KULA
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State | HI
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Zip | 96790-7450
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Country | US
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Telephone | 808-878-1221
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Fax | 808-876-4438
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Authorized Official
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Title or Position | MAUI MEMORIAL MEDICAL CENTER CEO
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Name | MR. WESLEY LO
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Credential |
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Telephone | 808-442-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 25H
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 35N
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License Number State | HI
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