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General NPI Number Information
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NPI Number | 1952691156
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Entity Type | Organization
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Legal Business Name | ERINN E MAURY MD LLC
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Dates
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Enumeration Date | 04/10/2011
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Last Update Date | 04/10/2011
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Provider Practice Location Address
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Address Line | 848 S BERETANIA ST #309
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City | HONOLULU
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State | HI
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Zip | 96813-2551
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Country | US
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Telephone | 443-995-1658
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Fax |
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Provider Business Mailing Address
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Address Line | 848 S BERETANIA ST #309
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City | HONOLULU
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State | HI
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Zip | 96813-2551
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ERINN E MAURY
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Credential | MD
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Telephone | 443-995-1658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 15916
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15916
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License Number State | HI
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