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NPI 1871632984

NPI 1871632984 : PATRICK LEE ADAMS RPH : KAMUELA, HI

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General NPI Number Information
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    NPI Number           |    1871632984
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK LEE ADAMS RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    645306 PUANUANU 
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    City                 |    KAMUELA
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    State                |    HI
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    Zip                  |    96743-7141
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    Country              |    US
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    Telephone            |    808-640-1848
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    Fax                  |    808-885-2061
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Provider Business Mailing Address
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    Address Line         |    64-5306 PUANUANU 
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    City                 |    KAMUELA
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    State                |    HI
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    Zip                  |    96743-7141
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    Country              |    US
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    Telephone            |    808-640-1848
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    Fax                  |    808-885-2061
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PH2197
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    License Number State |    HI
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