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General NPI Number Information
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NPI Number | 1982800603
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Entity Type | Individual
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Provider Name | HIMA B KONA MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 145 W 4TH ST STE 201
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City | COOKEVILLE
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State | TN
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Zip | 38501
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Country | US
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Telephone | 931-783-2143
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Fax | 931-783-2152
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Provider Business Mailing Address
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Address Line | 127 N OAK AVE SUITE D
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City | COOKEVILLE
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State | TN
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Zip | 38501-2435
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Country | US
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Telephone | 931-783-5857
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Fax | 931-526-6760
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD0000045979
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License Number State | TN
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