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General NPI Number Information
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NPI Number | 1154058717
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Entity Type | Organization
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Legal Business Name | WILDBIRD CHIROPRACTIC & WELLNESS LLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 100
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City | KAILUA
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State | HI
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Zip | 96734-2532
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Country | US
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Telephone | 808-261-4040
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Fax | 808-744-2077
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Provider Business Mailing Address
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Address Line | 407 ULUNIU ST STE 311
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City | KAILUA
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State | HI
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Zip | 96734-2544
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN EDDINS
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Credential | DC
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Telephone | 818-448-6906
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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 |
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License Number State |
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