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General NPI Number Information
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NPI Number | 1891506739
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY SPECIALISTS OF HAWAII, LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 99-128 AIEA HEIGHTS DR STE 701
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City | AIEA
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State | HI
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Zip | 96701-3940
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Country | US
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Telephone | 808-888-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 918 KAHENA ST
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City | HONOLULU
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State | HI
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Zip | 96825-1077
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Country | US
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Telephone | 808-341-2541
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. EMILY WONG
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Credential | MD
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Telephone | 808-341-2541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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