Basic Information
Provider Information
NPI: 1033465547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUTCHENS
FirstName: DANIEL
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 770 KAPIOLANI BLVD STE 705
Address2:  
City: HONOLULU
State: HI
PostalCode: 968135241
CountryCode: US
TelephoneNumber: 8085978778
FaxNumber: 8085978781
Practice Location
Address1: 1301 PUNCHBOWL ST # 1
Address2:  
City: HONOLULU
State: HI
PostalCode: 968132402
CountryCode: US
TelephoneNumber: 8085389011
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/02/2012
LastUpdateDate: 04/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X4301101012MIN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD19255HIY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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