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General NPI Number Information
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NPI Number | 1881695476
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Entity Type | Organization
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Legal Business Name | QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST
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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 | 808-547-4745
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Fax | 808-547-4064
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST STREET LEVEL
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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 | 808-691-4745
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Fax | 808-691-4064
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SCOTT WHITING
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Credential |
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Telephone | 808-691-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY-470
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY-470
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License Number State | HI
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