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NPI 1891084224

NPI 1891084224 : SHUOLUN RUAN M.D. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1891084224
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    Entity Type          |    Individual 
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    Provider Name        |    SHUOLUN RUAN M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2011
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    Last Update Date     |    01/17/2023
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Provider Practice Location Address
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    Address Line         |    770 KAPIOLANI BLVD STE 705 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-5241
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    Country              |    US
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    Telephone            |    808-597-8799
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    770 KAPIOLANI BLVD STE 705 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-5241
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    Country              |    US
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    Telephone            |    808-597-8799
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    Fax                  |    808-597-8781
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    MD-22642
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    D0077589
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    License Number State |    MD
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