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General NPI Number Information
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NPI Number | 1871567008
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Entity Type | Individual
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Provider Name | JAMES E MUSGRAVE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST SUITE 808
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City | HONOLULU
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State | HI
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Zip | 96813-2449
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Country | US
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Telephone | 808-521-3473
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Fax | 808-521-3474
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST SUITE 808
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City | HONOLULU
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State | HI
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Zip | 96813-2449
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Country | US
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Telephone | 808-521-3473
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Fax | 808-521-3474
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 3065
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License Number State | HI
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