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General NPI Number Information
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NPI Number | 1043727126
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Entity Type | Organization
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Legal Business Name | FOUNDATION SPINE AND POSTURE LLC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 1150 S. KING ST. SUITE 408
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City | HONOLULU
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State | HI
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Zip | 96814-1951
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Country | US
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Telephone | 808-376-8937
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Fax | 808-772-4276
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Provider Business Mailing Address
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Address Line | 1150 S. KING ST. SUITE 408
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City | HONOLULU
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State | HI
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Zip | 96814-1951
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Country | US
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Telephone | 808-376-8937
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Fax | 808-772-4276
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Authorized Official
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Title or Position | OWNER /CHIROPRACTOR
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Name | DR. PAUL M NAKAMOTO
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Credential | DC
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Telephone | 808-376-8937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC1380
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License Number State | HI
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