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General NPI Number Information
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NPI Number | 1881931780
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Entity Type | Organization
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Legal Business Name | RYAN RAO, LLC
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 12/15/2021
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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 | 808-524-2575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37292
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City | HONOLULU
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State | HI
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Zip | 96837-0292
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Country | US
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Telephone | 352-812-3162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN RAO
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Credential | MD
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Telephone | 808-321-0025
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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 | 16791
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License Number State | HI
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