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General NPI Number Information
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NPI Number | 1992201685
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR INTERVENTIONS OF THE PACIFIC, LLC
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 504
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City | HONOLULU
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State | HI
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Zip | 96817-2361
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Country | US
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Telephone | 808-538-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 PAPU CIR
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City | HONOLULU
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State | HI
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Zip | 96816-4840
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Country | US
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Telephone | 808-793-7747
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. RAMY BADAWI
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Credential | M.D.
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Telephone | 808-793-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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