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General NPI Number Information
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NPI Number | 1124387584
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Entity Type | Individual
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Provider Name | ALLISON RENEE NABOURS ND
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Gender | Female
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 2 AARONA PL STE 201
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City | KAILUA
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State | HI
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Zip | 96734-2545
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Country | US
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Telephone | 808-772-0225
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Fax | 808-800-2932
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Provider Business Mailing Address
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Address Line | 2 AARONA PL STE 201
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City | KAILUA
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State | HI
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Zip | 96734-2545
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Country | US
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Telephone | 808-772-0225
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Fax | 808-800-2932
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60262355
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-308
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License Number State | HI
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