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NPI 1073888194

NPI 1073888194 : RAINBOW DIALYSIS LLC : WAILUKU, HI

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General NPI Number Information
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    NPI Number           |    1073888194
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAINBOW DIALYSIS LLC 
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Dates
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    Enumeration Date     |    03/22/2012
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    80 MAHALANI ST STE 100
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793-2531
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    Country              |    US
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    Telephone            |    808-298-0555
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    Fax                  |    808-633-4884
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Provider Business Mailing Address
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    Address Line         |    711 KAPIOLANI BLVD 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-5237
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    Country              |    US
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    Telephone            |    808-432-5430
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    Fax                  |    808-432-5906
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     THOMAS L. WEINBERG 
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    Credential           |    
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    Telephone            |    214-736-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QE0700X
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    Taxonomy Name        |    End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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    License Number       |    
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    License Number State |    
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