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General NPI Number Information
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NPI Number | 1114722501
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Entity Type | Individual
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Provider Name | ANNA CANTOR DR
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 33 CENTRAL AVE
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City | WAILUKU
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State | HI
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Zip | 96793-1702
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Country | US
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Telephone | 808-868-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 PIIHANA RD
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City | WAILUKU
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State | HI
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Zip | 96793-1232
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Country | US
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Telephone | 808-264-3228
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU-1453
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License Number State | HI
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