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General NPI Number Information
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NPI Number | 1962815878
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Entity Type | Individual
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Provider Name | DEVY AFRIANY SETYONO M.D
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 888 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96813-3097
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Country | US
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Telephone | 808-522-4522
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Fax | 808-522-3408
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Provider Business Mailing Address
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Address Line | 888 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96813-3097
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Country | US
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Telephone | 808-522-4522
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Fax | 808-522-3408
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT206203
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD465812
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD241440
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License Number State | HI
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