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General NPI Number Information
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NPI Number | 1992148753
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Entity Type | Organization
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Legal Business Name | JOHN T. MCDONNELL, M.D. LTD
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 46-001 KAMEHAMEHA HWY SUITE 401
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City | KANEOHE
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State | HI
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Zip | 96744-3711
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Country | US
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Telephone | 808-247-6070
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Fax | 808-235-8928
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Provider Business Mailing Address
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Address Line | 46 001 KAMEHAMEHA HIGHWAY SUITE 401
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City | KANEOHE
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State | HI
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Zip | 96744-3788
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Country | US
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Telephone | 808-247-6070
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Fax | 808-235-8928
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN THOMAS MCDONNELL
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Credential | M.D.
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Telephone | 808-247-6070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 3865
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License Number State | HI
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